Active NPI
Hand Up Homes for Youth, Inc.
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Morganton, NC
National Provider Identifier
1104979525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- MHL-012-076
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603419 | Medicaid | NC |
Other names 1
- FOCUS Behavioral Health Services, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Hand Up Homes for Youth Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Morganton, NC
- NPI 1174849939
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Marion, NC
- NPI 1912050337
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Marion, NC
- NPI 1942431432
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.