Provider Demographics
NPI:1043288020
Name:CAROLINA RESPIRATORY SERVICES, INC.
Entity Type:Organization
Organization Name:CAROLINA RESPIRATORY SERVICES, INC.
Other - Org Name:BEE-LOVELY BOUTIQUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:HINSON
Authorized Official - Last Name:LAMM
Authorized Official - Suffix:
Authorized Official - Credentials:RN/CMF
Authorized Official - Phone:910-641-3733
Mailing Address - Street 1:34 HILL PLAZA
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-6002
Mailing Address - Country:US
Mailing Address - Phone:910-641-3733
Mailing Address - Fax:910-640-1544
Practice Address - Street 1:34 HILL PLAZA
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-6002
Practice Address - Country:US
Practice Address - Phone:910-641-3733
Practice Address - Fax:910-640-1544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00241332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0322QOtherBLUECROSSBLUESHEILD
NC7701940Medicaid
NC0245810Medicaid
NC1140110001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER