Active NPI
Youth Solutions Home LLC
- Community/Behavioral Health Agency
- Concord, NC
National Provider Identifier
1275353070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- YOUTH SOLUTIONS HOME LLC
- Practice address
- 6305 Lynwood Dr NW
Concord, NC 28027-3824 - Phone
- (704) 803-2972
- NPI assigned
- Oct 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brannon Leon Jett
- Title
- Owner
- Phone
- (704) 626-9610
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
6305 Lynwood Dr NW
Concord, NC 28027-3824
Mailing address
748 Alexander Commons Dr
Monroe, NC 28112-7650
Phone (704) 557-6558
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728950400000",
"number": "1275353070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "748 ALEXANDER COMMONS DR",
"city": "MONROE",
"state": "NC",
"postal_code": "281127650",
"telephone_number": "704-557-6558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6305 LYNWOOD DR NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280273824",
"telephone_number": "704-803-2972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUTH SOLUTIONS HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-15",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A",
"authorized_official_last_name": "JETT",
"authorized_official_first_name": "BRANNON",
"authorized_official_middle_name": "LEON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-626-9610"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.