NPIMap

Organization Active NPI

Youth Enrichment Group Home, Inc.

  • Case Management Agency
  • Greensboro, NC
National Provider Identifier
1184769531
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
YOUTH ENRICHMENT GROUP HOME, INC.
Doing business as
Youth Enrichment Group Home, Inc.
Practice address
4299 Harbor Ridge Dr
Greensboro, NC 27406-8576
Phone
(336) 382-6658
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Devolia Sweet
Title
Assistant Director
Phone
(336) 382-6658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4299 Harbor Ridge Dr
Greensboro, NC 27406-8576

Mailing address

4299 Harbor Ridge Dr.
Greensboro, NC 27406

Other identifiers 1

IdentifierTypeStateIssuer
4299OtherNCCOMMUNITY SUPPORT

Other names 1

  • Youth Enrichment Group Home, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Youth Enrichment Group Home Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1184769531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4299 HARBOR RIDGE DR.",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4299 HARBOR RIDGE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068576",
            "telephone_number": "336-382-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH ENRICHMENT GROUP HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "SWEET",
        "authorized_official_first_name": "DEVOLIA",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "336-382-6658"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY SUPPORT",
            "identifier": "4299",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Enrichment Group Home, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.