NPIMap

Organization Active NPI

Alpha Connection Youth & Family Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Apple Valley, CA
National Provider Identifier
1265024004
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
ALPHA CONNECTION YOUTH & FAMILY SERVICES
Practice address
20048 Shoshonee Rd
Apple Valley, CA 92307-7705
Phone
(760) 247-7930
Fax
(760) 247-8920
NPI assigned
Feb 3, 2021
Last updated
Feb 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Barron Wilson
Title
Program Director
Phone
(760) 247-7930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU Primary

Addresses

Primary practice location

20048 Shoshonee Rd
Apple Valley, CA 92307-7705

Mailing address

22675 Anoka Rd
Apple Valley, CA 92308-5436
Phone (760) 247-7930

National Provider Directory

National Provider Directory
Tax ID family
Alpha Connection Youth Family Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1265024004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22675 ANOKA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923085436",
            "telephone_number": "760-247-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20048 SHOSHONEE RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923077705",
            "telephone_number": "760-247-7930",
            "fax_number": "760-247-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA CONNECTION YOUTH & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BARRON",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "760-247-7930"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.