Organization Active NPI

Youth Opportunity Investments LLC

  • Psychiatric Residential Treatment Facility
  • Brooksville, FL
National Provider Identifier
1023875507
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
YOUTH OPPORTUNITY INVESTMENTS LLC
Doing business as
Brooksville Youth Academy
Practice address
201 Culbreath Road
Brooksville, FL 34602-6017
Phone
(352) 799-5621
Fax
(352) 799-4457
NPI assigned
Mar 1, 2024
Organization subpart
Yes
Parent organization
YOUTH OPPORTUNITY INVESTMENTS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
David Townsend
Title
Director of Finance
Phone
(727) 800-3511

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

201 Culbreath Road
Brooksville, FL 34602-6017

Mailing address

701 94TH Ave N.
Suite 100
St. Petersburg, FL 33702-2448
Phone (727) 800-3511

Other identifiers 1

IdentifierTypeStateIssuer
114277100MedicaidFL

Other names 1

  • Brooksville Youth Academy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Youth Opportunity Investments LLC3 organizations share this tax ID, including this one
Part of
Youth Opportunity Investments LLC

Other organizations with this tax ID 2

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

Locations

201 Culbreath Rd
Brooksville, FL 34602
Phone (352) 799-5621

701 94th Ave N
Ste 100
St Petersburg, FL 33702

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1023875507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 94TH AVE N.",
            "address_2": "SUITE 100",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337022448",
            "telephone_number": "727-800-3511",
            "fax_number": "727-371-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CULBREATH ROAD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346026017",
            "telephone_number": "352-799-5621",
            "fax_number": "352-799-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH OPPORTUNITY INVESTMENTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUTH OPPORTUNITY INVESTMENTS LLC",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "727-800-3511"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114277100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooksville Youth Academy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brooksville Youth Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.