CAROLINA HOUSE – NPI #1376630533
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

CAROLINA HOUSE is a community based residential treatment facility located in DURHAM, NC. NPPES has assigned the NPI number 1376630533 to CAROLINA HOUSE on October 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CAROLINA HOUSE” is a dba name, the actual legal business name for this organization is CRC ED TREATMENT, LLC. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 3 years ago on Sep 18, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAROLINA HOUSE below.

NPI Profile for
CRC ED TREATMENT, LLC

NPI Number
1376630533
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CRC ED TREATMENT, LLC
Doing Business As (dba): CAROLINA HOUSE
Primary location
176 LASSITER HOMESTEAD RD
DURHAM, NC 27713-6835
Phone: (919) 372-7942 Fax: (919) 484-0451
3 Other location(s):
7200 Nc Highway 751
Durham, NC 27713-6838
Phone: (919) 864-1004
7990 Nc Highway 751
Durham, NC 27713-6852
Phone: (919) 864-1004
Fax: (877) 275-7813
1340 Sunday Dr Ste 105
Raleigh, NC 27607-5196
Phone: (919) 864-1004
Fax: (877) 275-7813
Mailing address
6100 TOWER CIR STE 1000
FRANKLIN, TN 37067-1509
Phone: (615) 861-6000 Fax:
Organization Subpart
No
Authorized Official
BRIAN FARLEY
VP & SECRETARY
Phone: (615) 861-6000
Updated
Certification Date
Sep 18, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
323P00000X
- Psychiatric Residential Treatment Facility
NC MHL019041

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.