MEDICARE: CAROLINA RESIDENTIAL SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	MHL-096-005	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770626574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA RESIDENTIAL SERVICES, INC

Provider Business Mailing Address
First Line	:	PO BOX 286
Second Line	:
City	:	RUTHERFORD COLLEGE
State	:	NC
Zip	:	28671-0286
Country	:	US
Telephone Number	:	828-572-2333
Fax Number	:	980-525-0500

Provider Business Practice Location Address
First Line	:	1201 WAYNE MEMORIAL DR
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-2270
Country	:	US
Telephone Number	:	919-580-0020
Fax Number	:	919-580-0026

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. SUSAN M KINCAID
Credential	:
Telephone Number	:	828-572-2333

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	08/08/2016

Similar Medicare Providers

1396692448 — BRIDGEWELL RESIDENTIAL SERVICES, LLC
Practice Location Address:

2801 MCLAIN ST.
GOLDSBORO, NC
27534

Practice Phone: 919-394-6718
Practice Fax: 919-288-1276

1811348790 — JESSICA LYNN MURRAY DO, MPH
Practice Location Address:

2700 WAYNE MEMORIAL DR
GOLDSBORO, NC
27534-9494

Practice Phone: 919-736-1110
Practice Fax:

1447899299 — ELIZABETH GREEN PT, DPT
Practice Location Address:

2503 WAYNE MEMORIAL DR
GOLDSBORO, NC
27534-9401

Practice Phone: 919-734-1311
Practice Fax:

1699623090 — MICAELA CAPPS
Practice Location Address:

2400 WAYNE MEMORIAL DR STE C
GOLDSBORO, NC
27534-1750

Practice Phone: 919-751-6053
Practice Fax:

1255940870 — NAHIA ZHAIMARA SOTO LCSW
Practice Location Address:

112 BETT DR
GOLDSBORO, NC
27534-9569

Practice Phone: 919-223-1350
Practice Fax:

1750353462 — WAYNE MEMORIAL HOSPITAL INC
Practice Location Address:

2700 WAYNE MEMORIAL DR
GOLDSBORO, NC
27534-9459

Practice Phone: 919-731-6142
Practice Fax: 919-731-6966

Directions to “CAROLINA RESIDENTIAL SERVICES, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.