NPIMap

Organization Active NPI

Power Up Youth Services LLC

  • Case Management Agency
  • Rockingham, NC
National Provider Identifier
1205096484
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
POWER UP YOUTH SERVICES LLC
Practice address
213 E Washington St
Rockingham, NC 28379-3641
Phone
(910) 995-7902
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Mr. Michael Shawn Taylor
Title
Owner Ceo
Phone
(843) 513-2619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

213 E Washington St
Rockingham, NC 28379-3641

Mailing address

PO Box 454
Rockingham, NC 28380-0454
Phone (910) 995-7902

National Provider Directory

National Provider Directory
Tax ID family
Power Up Youth Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

213 E Washington St
Rockingham, NC 28379
Phone (910) 995-7902

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1205096484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 454",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283800454",
            "telephone_number": "910-995-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E WASHINGTON ST",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793641",
            "telephone_number": "910-995-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER UP YOUTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "843-513-2619",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.