Youth and Family Dynamics in-Home Services,LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

S242537-1 Issued in VA

Legal business name

YOUTH AND FAMILY DYNAMICS IN-HOME SERVICES,LLC

Practice address

5741 South Laburnum Avenue
Henrico, VA 23231-4726

Phone

(804) 501-9440

NPI assigned

Sep 16, 2008

Organization subpart

No

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

Authorized official

Name

Allen Fitzgerald Jackson Jr.

Title

Chief Executive Officer

Phone

(804) 501-9440

Specialties & licenses 1

Addresses

Tax ID family

Youth and Family Dynamaics Day Treatment Support2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Youth and Family Dynamics Inhome Services 2

  • Health Maintenance Organization
  • Henrico, VA
  • NPI 1730404963
  NPD tax ID

Locations

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1346499233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 FIRST COLONIAL COURT",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232314726",
            "telephone_number": "804-501-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 SOUTH LABURNUM AVENUE",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232314726",
            "telephone_number": "804-501-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH AND FAMILY DYNAMICS IN-HOME SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "FITZGERALD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "804-501-9440",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "S242537-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deshiree Young
• Matthew Thomas Young, MD
• Robert Anthony Young III, N.P.
• Your Best Life Medical Eclinic, PLLC
• Youth and Family Dynamics Day Treatment Support,LLC
• Youth and Family Dynamics Inhome Services 2
• Youth and Family Dynamics Mental Health Support, LLC
• Yur-Way Medical Transportation, LLC
• Z&G Transportation LLC
• Maria P Zanetti, CCC-SLP

• Community/Behavioral Health Agency in Henrico, VA
• Providers in Henrico, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.