Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolina Residential Services, Inc

Organization Community/Behavioral Health Agency · NPI 1265575971

Carolina Residential Services, Inc is a Community/Behavioral Health Agency in Statesville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

804 Hunter St
Statesville, NC 28677-3530
Phone: (704) 883-0850
Fax: (704) 873-9502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence MHL-049-063 (NC)
Community/Behavioral Health Agency Taxonomy 251S00000X
Adult Care Home Facility Taxonomy 311ZA0620X

Record details

NPI number1265575971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Kincaid — Director · (828) 572-2333
NPI enumeratedFebruary 14, 2007
Last updated in NPPESJuly 20, 2013
Mailing addressPo Box 286, Rutherford College, NC 28671-0286

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