Provider Demographics
NPI:1295167625
Name:CAROLINA ENHANCEMENT SERVICES LLC
Entity type:Organization
Organization Name:CAROLINA ENHANCEMENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FUNCHESS
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:336-501-8643
Mailing Address - Street 1:2602 ERIC LN STE E1
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-5591
Mailing Address - Country:US
Mailing Address - Phone:336-270-8005
Mailing Address - Fax:336-270-3012
Practice Address - Street 1:2602 ERIC LN STE E1
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5591
Practice Address - Country:US
Practice Address - Phone:336-270-8005
Practice Address - Fax:336-270-3012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services