Henry and Rilla White Youth Foundation, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

HENRY AND RILLA WHITE YOUTH FOUNDATION, INC.

Practice address

1531 SW Commercial GLN
Lake City, FL 32025-0454

Phone

(386) 752-7813

Fax

(386) 752-7836

NPI assigned

Jan 22, 2014

Organization subpart

No

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

Authorized official

Name

Mr. John Justin Anthony

Title

Targeted Case Management Supervisor

Phone

(386) 752-7813

Specialties & licenses 1

Addresses

Tax ID family

Henry and Rilla White Youth Foundation Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Henry and Rilla White Youth Foundation Inc.

  • Case Management Agency
  • Lake City, FL
  • NPI 1740672518
  NPD tax ID
• Henry and Rilla White Youth Foundation, Inc.

  • Community/Behavioral Health Agency
  • Lake City, FL
  • NPI 1427725969
  NPD tax ID
• The Henry & Rilla White Youth Foundation Inc

  • Community/Behavioral Health Agency
  • Lake City, FL
  • NPI 1952303737
  NPD tax ID

Locations

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1336562677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 SW COMMERCIAL GLN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250454",
            "telephone_number": "386-752-7813",
            "fax_number": "386-752-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 SW COMMERCIAL GLN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250454",
            "telephone_number": "386-752-7813",
            "fax_number": "386-752-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY AND RILLA WHITE YOUTH FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "TARGETED CASE MANAGEMENT SUPERVISOR",
        "authorized_official_telephone_number": "386-752-7813",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Harris Henderson, APRN
• Devon L Henderson, RN
• Laretha Faye Hendon
• Hendrix, Smith, & Kirby LLC D/B/a Eastside Care Alf
• Henry and Rilla White Youth Foundation Inc.
• Henry and Rilla White Youth Foundation, Inc.
• Jasmin Henry-Fuller
• Edmund Henry Jr., RPN
• Sundae Herd, R.N
• Benjamin Robert Herget, DPT

• Case Management Agency in Lake City, FL
• Providers in Lake City, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.