NPIMap

Organization Active NPI

Youth Villages

  • Case Management Agency
  • Durham, NC
National Provider Identifier
1306194592
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
YOUTH VILLAGES
Practice address
100 Capitola Dr
Durham, NC 27713-4496
Phone
(919) 474-6400
NPI assigned
Aug 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Ms. Sheila Yvette Gable
Title
MST C Ounselor
Phone
(678) 663-9977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

100 Capitola Dr
Durham, NC 27713-4496

Mailing address

100 Capitola Dr
Durham, NC 27713-4496

Other identifiers 1

IdentifierTypeStateIssuer
101YM0800XMedicaidNC

National Provider Directory

National Provider Directory

Locations

100 Capitola Dr
Durham, NC 27713
Phone (919) 474-6373

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1306194592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAPITOLA DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAPITOLA DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134496",
            "telephone_number": "919-474-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH VILLAGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "GABLE",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "MST C OUNSELOR",
        "authorized_official_telephone_number": "678-663-9977",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YM0800X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.