NPIMap

Organization Active NPI

G4S Youth Services, LLC

Doing business as Okeechobee Intensive Halfway House

  • Counselor
  • Okeechobee, FL
National Provider Identifier
1053555748
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
G4S YOUTH SERVICES, LLC
Doing business as
Okeechobee Intensive Halfway House
Practice address
7200 Highway 441 N
Okeechobee, FL 34972-8637
Phone
(863) 357-0047
Fax
(863) 357-0368
NPI assigned
Apr 24, 2009
Last updated
Apr 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Authorized official

Name
Mr. Kerry Lawrence Knott
Title
Chief Executive Officer
Phone
(561) 691-6729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

7200 Highway 441 N
Okeechobee, FL 34972-8637

Mailing address

4200 Wackenhut Dr
West Palm Beach, FL 33410-4242
Phone (561) 691-6610

Other names 1

  • Okeechobee Intensive Halfway House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
G4S Youth Services LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1053555748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 WACKENHUT DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334104242",
            "telephone_number": "561-691-6610",
            "fax_number": "561-691-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 HIGHWAY 441 N",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349728637",
            "telephone_number": "863-357-0047",
            "fax_number": "863-357-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G4S YOUTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "KNOTT",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "561-691-6729",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Okeechobee Intensive Halfway House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.