Avery Youth Services for Boys, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

AVERY YOUTH SERVICES FOR BOYS, INC.

Practice address

742 McKnight Dr
Suite 201
Knightdale, NC 27545-7764

Phone

(919) 261-9688

Fax

(919) 261-0118

NPI assigned

Nov 8, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Terrence Avery Shields

Title

President

Phone

(919) 261-9688

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1257638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257638400000",
    "number": "1104153485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 MCKNIGHT DR",
            "address_2": "SUITE 201",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457764",
            "telephone_number": "919-261-9688",
            "fax_number": "919-261-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 MCKNIGHT DR",
            "address_2": "SUITE 201",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457764",
            "telephone_number": "919-261-9688",
            "fax_number": "919-261-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY YOUTH SERVICES FOR BOYS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-08",
        "last_updated": "2009-11-08",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "AVERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-261-9688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.