NPIMap

Organization Active NPI

Yahweh Center Children'S Village

  • Psychiatric Residential Treatment Facility
  • Castle Hayne, NC
National Provider Identifier
1023181013
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
MHL065-176 Issued in NC
Legal business name
YAHWEH CENTER CHILDREN'S VILLAGE
Practice address
5000 Lambs Path Way
Castle Hayne, NC 28429-6311
Phone
(910) 675-3533
Fax
(910) 675-3405
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carla Roberts, CSW
Title
Executive Director
Phone
(910) 675-3533

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X MHL065-176 NC Primary
Psychiatric Residential Treatment Facility 323P00000X MHL065-208 NC

Addresses

Primary practice location

5000 Lambs Path Way
Castle Hayne, NC 28429-6311

Mailing address

PO Box 10399
Wilmington, NC 28404-0399
Phone (910) 675-3533

Other identifiers 6

IdentifierTypeStateIssuer
3404522MedicaidNC
6005882MedicaidNC
6603080MedicaidNC
8301344MedicaidNC
5903941MedicaidNC
6603676MedicaidNC

Other names 1

  • Yahweh Center inc Other name

National Provider Directory

National Provider Directory
Tax ID family
Yahweh Center Childrens Village3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1023181013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10399",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284040399",
            "telephone_number": "910-675-3533",
            "fax_number": "910-675-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 LAMBS PATH WAY",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "284296311",
            "telephone_number": "910-675-3533",
            "fax_number": "910-675-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAHWEH CENTER CHILDREN'S VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-675-3533",
        "authorized_official_credential": "CSW"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NC",
            "license": "MHL065-176",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NC",
            "license": "MHL065-208",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404522",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005882",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603080",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301344",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903941",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603676",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yahweh Center inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Castle Hayne, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.