Yancey Residential Services, Inc.

Primary specialty

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

License

MHL100-013 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

Dec 28, 2007

Last updated

Dec 28, 2007By the provider in NPPES

Organization subpart

No

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 1

Addresses

Other identifiers 1

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.

• Yancey Residential Services, Inc.

  • Adult Care Home Facility
  • Burnsville, NC
  • NPI 1225170343
  NPD tax ID

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1285819029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287140849",
            "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": "2007-12-28",
        "last_updated": "2007-12-28",
        "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": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL100-013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408878",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yancey County Schools
• Yancey County Transportation (Ycta)
• Yancey Home Care Inc
• Yancey House, LLC
• Yancey Residential Services, Inc.
• Laura Hastings Young, RN, AGNP-C
• Linda Zillweger, RPH

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Burnsville, NC
• Providers in Burnsville, 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 Dec 28, 2007; 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.