Organization Active NPI

Hand Up Homes for Youth, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Morganton, NC
National Provider Identifier
1104979525
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-012-076 Issued in NC
Legal business name
HAND UP HOMES FOR YOUTH, INC.
Practice address
109 Parker LN
Morganton, NC 28655-8860
Phone
(828) 439-8191
NPI assigned
Jan 19, 2007
Last updated
Aug 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
Ms. Pam Douglas
Title
NC Director
Phone
(828) 439-8191

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-012-137 NC
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-012-076 NC Primary

Addresses

Primary practice location

109 Parker LN
Morganton, NC 28655-8860

Mailing address

207 Queen St
Morganton, NC 28655-3341
Phone (828) 439-8191

Other identifiers 1

IdentifierTypeStateIssuer
6603419MedicaidNC

Other names 1

  • FOCUS Behavioral Health Services, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Hand Up Homes for Youth Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

109 Parker Ln
Morganton, NC 28655

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1104979525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 QUEEN ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553341",
            "telephone_number": "828-439-8191",
            "fax_number": "828-439-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PARKER LN",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286558860",
            "telephone_number": "828-439-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAND UP HOMES FOR YOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "NC DIRECTOR",
        "authorized_official_telephone_number": "828-439-8191",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-012-137",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-012-076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603419",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOCUS Behavioral Health Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.