Organization Active NPI

Yancey Residential Services, Inc.

  • Adult Care Home Facility
  • Burnsville, NC
National Provider Identifier
1225170343
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
MH 100-009 Issued in NC
Legal business name
YANCEY RESIDENTIAL SERVICES, INC.
Practice address
35 Celo St
Burnsville, NC 28714-3008
Phone
(828) 682-4944
Fax
(828) 682-9813
NPI assigned
Feb 13, 2007
Last updated
Jul 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Ms. Dorothy P. Styles, QDDP
Title
Executive Director
Phone
(828) 682-4944

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X MHL 100-014 NC
Adult Care Home Facility 311ZA0620X MH 100-009 NC Primary
Adult Care Home Facility 311ZA0620X MHL 100-013 NC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL 100-013 NC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL 100-014 NC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL 100-009 NC
Community/Behavioral Health Agency 251S00000X MHL 100-013 NC
Community/Behavioral Health Agency 251S00000X MHL 100-009 NC
Community/Behavioral Health Agency 251S00000X MHL 100-014 NC

Addresses

Primary practice location

35 Celo St
Burnsville, NC 28714-3008

Mailing address

35 Celo St
Burnsville, NC 28714-3008
Phone (828) 682-4944

National Provider Directory

National Provider Directory
Tax ID family
Yancey Residential Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1225170343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CELO ST",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287143008",
            "telephone_number": "828-682-4944",
            "fax_number": "828-682-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CELO ST",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287143008",
            "telephone_number": "828-682-4944",
            "fax_number": "828-682-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANCEY RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "STYLES",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-682-4944",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "QDDP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL 100-014",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MH 100-009",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL 100-013",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL 100-013",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL 100-014",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL 100-009",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL 100-013",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL 100-009",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL 100-014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.