Organization Active NPI

Youth Villages, Inc

  • Psychiatric Residential Treatment Facility
  • Memphis, TN
National Provider Identifier
1053966747
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
YOUTH VILLAGES, INC
Practice address
7426 Memphis Arlington Rd
Memphis, TN 38135-1908
Phone
(901) 251-5000
Fax
(901) 251-5001
NPI assigned
Aug 8, 2019
Last updated
Apr 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Patrick W. Lawler
Title
Ceo
Phone
(901) 251-4801

Specialties & licenses 1

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

Addresses

Primary practice location

7426 Memphis Arlington Rd
Memphis, TN 38135-1908

Mailing address

3320 Brother Blvd
Memphis, TN 38133-8950
Phone (901) 251-5000

Other practice location 1

7428 Memphis-Arlington RD
Memphis, TN 38135-3813
Phone (901) 252-7980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053966747. Details of each certification follow.

  • CCN 44L023 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 44L023

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
YOUTH VILLAGES-CENTER FOR INTENSIVE RESIDENTIAL TR
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Jun 30, 2006
Last certification
Oct 27, 2021
Beds
144
Ownership / control type
For profit – individual
Facility address
7426 Memphis Arlington Road
Memphis, TN 38135

National Provider Directory

National Provider Directory
Tax ID family
Youth Villages19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1053966747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 BROTHER BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381338950",
            "telephone_number": "901-251-5000",
            "fax_number": "901-251-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7426 MEMPHIS ARLINGTON RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381351908",
            "telephone_number": "901-251-5000",
            "fax_number": "901-251-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7428 Memphis-Arlington RD",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381353813",
            "country_code": "US",
            "telephone_number": "901-252-7980",
            "fax_number": "901-252-7990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUTH VILLAGES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-251-4801"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.