Active NPI
Youth Opportunity Investments LLC
- Psychiatric Residential Treatment Facility
- Brooksville, FL
National Provider Identifier
1023875507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114277100 | Medicaid | FL |
Other names 1
- Brooksville Youth Academy
National Provider Directory
National Provider Directory- Tax ID family
- Youth Opportunity Investments LLC
- 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.
-
- Psychiatric Residential Treatment Facility
- Troy, OH
- NPI 1366284796
-
- Psychiatric Residential Treatment Facility
- Rockdale, TX
- NPI 1487187704
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.