Active NPI
Family Youth Inc
- Case Management Agency
- Las Cruces, NM
National Provider Identifier
1114233939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- FAMILY YOUTH INC
- Practice address
- 1320 S Solano Dr
Las Cruces, NM 88001-3758 - Phone
- (575) 556-1669
- NPI assigned
- Aug 31, 2010
- Last updated
- Aug 31, 2010
- 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
- Mr. Breck Alan Penrod
- Title
- BMS Provider
- Phone
- (505) 117-4203
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary |
Addresses
Primary practice location
1320 S Solano Dr
Las Cruces, NM 88001-3758
Mailing address
2190 Mars Ave
11
Las Cruces, NM 88012-8532
Phone (505) 227-4203
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Case Manager/Care Coordinator
- Las Cruces, NM
- NPI 1275843872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283212800000",
"number": "1114233939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2190 MARS AVE",
"address_2": "11",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880128532",
"telephone_number": "505-227-4203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 S SOLANO DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880013758",
"telephone_number": "575-556-1669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY YOUTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-31",
"last_updated": "2010-08-31",
"status": "A",
"authorized_official_last_name": "PENROD",
"authorized_official_first_name": "BRECK",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "BMS PROVIDER",
"authorized_official_telephone_number": "505-117-4203",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
- Families & Youth, Inc (Fyi)
- Families and Youth Inc
- Family Pharmacy, LLC (Family Pharmacy)
- Family Practice Medical and Dietetic Medical Therapy
- Family Pride Foundation Treatment
- Familycare Associates,PA
- Muhammad Farhan, DO
- Farnsworth Orthodontics Las Cruces LLC (Las Cruces Orthodontics)
- Mary L Farrell, LCSW
- Tazeen Fatima
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.