TARHEEL RESIDENTIAL SERVICES NPI 1891219093

NPI Information

  • NPI: 1891219093
  • Provider Name: TARHEEL RESIDENTIAL SERVICES
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Address: 4840 QUARRYMAN ROAD
    RALEIGH, NC
    ZIP 27610
  • Phone: 17042449069

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NPI Details

TARHEEL RESIDENTIAL SERVICES is a residential treatment facility, intellectual and/or developmental disabilities in Raleigh, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. TARHEEL RESIDENTIAL SERVICES NPI is 1891219093. The provider is registered as an organization entity type.

The provider's business location address is:

4840 QUARRYMAN ROAD
RALEIGH, NC
ZIP 27610
Phone: 17042449069

The provider's authorized official is Connie Yvette Omari .
The authorized official title is Clinical Director and has the following contact phone number (704) 244-9069.

The enumeration date for this NPI number is 7/29/2017 and was last updated on 7/29/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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