Active NPI
Youth Home Incorporated
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Little Rock, AR
National Provider Identifier
1326232240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Legal business name
- YOUTH HOME INCORPORATED
- Practice address
- 5109 W 23Rd St
Little Rock, AR 72204-5101 - Phone
- (501) 663-7667
- NPI assigned
- Sep 4, 2007
- 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
- Scealita Drennon
- Title
- Behavior Specialist
- Phone
- (501) 663-7667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Primary |
Addresses
Primary practice location
5109 W 23Rd St
Little Rock, AR 72204-5101
Mailing address
5109 W 23Rd St
Little Rock, AR 72204-5101
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188864000000",
"number": "1326232240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5109 W 23RD ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722045101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5109 W 23RD ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722045101",
"telephone_number": "501-663-7667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUTH HOME INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-04",
"last_updated": "2007-09-04",
"status": "A",
"authorized_official_last_name": "DRENNON",
"authorized_official_first_name": "SCEALITA",
"authorized_official_title_or_position": "BEHAVIOR SPECIALIST",
"authorized_official_telephone_number": "501-663-7667"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.