Organization Active NPI

Strong Legacy Youth Services, LLC

  • Community/Behavioral Health Agency
  • Dallas, TX
National Provider Identifier
1174765861
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STRONG LEGACY YOUTH SERVICES, LLC
Practice address
1140 Empire Central PL
106E
Dallas, TX 75247-4317
Phone
(678) 362-9955
Fax
(866) 379-8708
NPI assigned
Mar 27, 2009
Last updated
Apr 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Mr. Robert Ashford
Title
Ceo
Phone
(804) 267-1899

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1140 Empire Central PL
106E
Dallas, TX 75247-4317

Mailing address

1140 Empire Central PL
106E
Dallas, TX 75247-4317
Phone (678) 362-9955

Other names 1

  • Strong Foundation Youth Initiative Other name

National Provider Directory

National Provider Directory

Locations

1140 Empire Central Pl
Ste 106E
Dallas, TX 75247
Phone (678) 362-9955

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1174765861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 EMPIRE CENTRAL PL",
            "address_2": "106E",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474317",
            "telephone_number": "678-362-9955",
            "fax_number": "866-379-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 EMPIRE CENTRAL PL",
            "address_2": "106E",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474317",
            "telephone_number": "678-362-9955",
            "fax_number": "866-379-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONG LEGACY YOUTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "ASHFORD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-267-1899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strong Foundation Youth Initiative",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.