S & C Youth Homes Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

S & C YOUTH HOMES INC.

Practice address

1736 Morven Rd Ste a
Wadesboro, NC 28170-3197

Phone

(704) 695-1001

Fax

(704) 695-0907

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Fred Clinton Christon

Title

Owner

Phone

(704) 695-1001

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

S C Youth Homes 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.

• S & C Youth Homes Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wadesboro, NC
  • NPI 1013096874
  NPD tax ID

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255454484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1017",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281701017",
            "telephone_number": "704-695-1001",
            "fax_number": "704-695-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 MORVEN RD STE A",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281703197",
            "telephone_number": "704-695-1001",
            "fax_number": "704-695-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & C YOUTH HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTON",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "CLINTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-695-1001"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300694B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300694G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300694H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard F Dest DDS, PLLC II (Wadesboro Family Dentistry)
• Linda Elizabeth Ricker, PA-C
• Robert Thomas Carpenter Jr. (Second to Nature)
• Norileen Rosales, OTR
• S & C Youth Homes Inc
• Lolade T Samuel, DDS
• Sandhills Center for Mental Health, Developmental Disabilities and Sub
• Sandhills Center for Mental Health, Developmental Disabilities and Sub
• Dyral Keith Shankle
• Samantha Shankle

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wadesboro, NC
• Providers in Wadesboro, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.