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Carolina Residential Services, Inc

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, NC · enumerated 2007 · authorized official Susan Kincaid, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588707236

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Carolina Residential Services, Inc
Practice address 324 Pine Valley Rd, Jacksonville, NC, 28546
Fax (910) 353-1415
Enumeration date Feb 14, 2007
Last updated in NPPES Jul 20, 2013

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Secondary
311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities Secondary
320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities · License MHL-067-102 (NC) Primary

Authorized official

Name Susan Kincaid
Title Director

Other identifiers

Identifier Type State Issuer
7804291 Medicaid NC -
7806596 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Carolina Residential Services, Inc located?
The practice location on file with NPPES is in Jacksonville, NC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-07-20. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-07-20.