Organization Active NPI

Youth Home Incorporated

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Little Rock, AR
National Provider Identifier
1326232240
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
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

Updated by the provider on Sep 4, 2007

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.