Basic Information
| Provider Information | |||||||||
| NPI: | 1245406065 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CARING SERVICES INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 102 CHESTNUT DR | ||||||||
| Address2: | |||||||||
| City: | HIGH POINT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272626804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3368865594 | ||||||||
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| Practice Location | |||||||||
| Address1: | 102 CHESTNUT DR | ||||||||
| Address2: | |||||||||
| City: | HIGH POINT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272626804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3368865594 | ||||||||
| FaxNumber: | 3368864160 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2008 | ||||||||
| LastUpdateDate: | 02/24/2012 | ||||||||
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| AuthorizedOfficialLastName: | YATES | ||||||||
| AuthorizedOfficialFirstName: | JASON | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PROGRAM DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 3368865594 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | LCSW, LCAS, CCS | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | 6006552 | NC | Y | Agencies | Community/Behavioral Health |
ID Information
| ID | Type | State | Issuer | Description | 6111919 | 05 | NC | MEDICAID | 6006552 | 05 | NC | MEDICAID | 6112113 | 05 | NC | MEDICAID | 8302912 | 05 | NC | MEDICAID |