Organization Active NPI

Youth Solutions Home LLC

  • Community/Behavioral Health Agency
  • Concord, NC
National Provider Identifier
1275353070
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Oct 15, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.