Active NPI
United Youth Care Services
- Clinical Medical Laboratory
- Greensboro, NC
National Provider Identifier
1306884069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- UNITED YOUTH CARE SERVICES
- Practice address
- 1207 4TH Street
Greensboro, NC 27405 - Phone
- (336) 370-9232
- NPI assigned
- Jun 3, 2006
- 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
- Mr. Donald Booker
- Title
- Ceo
- Phone
- (336) 370-9232
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | |||
| Allergy Physician | 207KA0200X | |||
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician | 207KI0005X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1207 4TH Street
Greensboro, NC 27405
Mailing address
1207 4TH St
Greensboro, NC 27405-6622
Phone (336) 370-9232
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300941 | Medicaid | NC | |
| 8300941H | Medicaid | NC | |
| 8300934G | Medicaid | NC | |
| 8300016H | Medicaid | NC | |
| 60 06024 | Medicaid | NC | |
| 8300016B | Medicaid | NC | |
| 8300016G | Medicaid | NC | |
| 6006013 | Medicaid | NC | |
| 8300016K | Medicaid | NC | |
| 8300934 | Medicaid | NC | |
| 8300934B | Medicaid | NC | |
| 8300016 | Medicaid | NC | |
| 8300934H | Medicaid | NC | |
| 8300941G | Medicaid | NC | |
| 3408412 | Medicaid | NC | |
| 6006025 | Medicaid | NC | |
| 8300941B | Medicaid | NC | |
| 8300016F | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1207 4th St
Greensboro, NC 27405
Phone (336) 327-1815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529625600000",
"number": "1306884069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 4TH ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274056622",
"telephone_number": "336-370-9232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 4TH STREET",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27405",
"telephone_number": "336-370-9232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED YOUTH CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2018-06-22",
"status": "A",
"authorized_official_last_name": "BOOKER",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "336-370-9232",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": false
},
{
"code": "207KI0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300941",
"state": "NC"
},
{
"code": "05",
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"issuer": null,
"identifier": "8300941H",
"state": "NC"
},
{
"code": "05",
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"issuer": null,
"identifier": "8300934G",
"state": "NC"
},
{
"code": "05",
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"issuer": null,
"identifier": "8300016H",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60 06024",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300016B",
"state": "NC"
},
{
"code": "05",
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"issuer": null,
"identifier": "8300016G",
"state": "NC"
},
{
"code": "05",
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"issuer": null,
"identifier": "6006013",
"state": "NC"
},
{
"code": "05",
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"issuer": null,
"identifier": "8300016K",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300934",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300934B",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300016",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300934H",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300941G",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408412",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6006025",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300941B",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300016F",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
- United Living, LLC
- United Living, LLC
- United Quest Care Services, LLC
- United Quest Care Services, LLC
- United Seating and Mobility LLC (Numotion)
- Unity Therapy & Treatment Services, LLC
- Universal Health Care / Blumenthal Inc (Blumenthal Jewish Nursing & Rehab Center)
- Universal Healthcare Services (Oak Hill Rest Home)
- University of North Carolina at Chapel Hill-Teacch Autism Program (Greensboro TEACCH Autism Program)
- University of North Carolina at Greensboro
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.