NPIMap

Organization Active NPI

Upside to Youth Development, LLC

  • In Home Supportive Care Agency
  • Martinsville, VA
National Provider Identifier
1356670178
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1082-05-001 Issued in VA
Legal business name
UPSIDE TO YOUTH DEVELOPMENT, LLC
Practice address
943 Starling Ave
Martinsville, VA 24112-6405
Phone
(804) 590-4453
NPI assigned
Dec 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Mr. Robert E. Gay Jr.
Title
Chief Financial Officer
Phone
(804) 541-7894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1082-05-001 VA Primary

Addresses

Primary practice location

943 Starling Ave
Martinsville, VA 24112-6405

Mailing address

943 Starling Ave
Martinsville, VA 24112-6405
Phone (804) 590-4453

National Provider Directory

National Provider Directory
Tax ID family
Upside to Youth Development LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

943 Starling Ave
Martinsville, VA 24112
Phone (804) 590-4453

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1356670178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 STARLING AVE",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241126405",
            "telephone_number": "804-590-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 STARLING AVE",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241126405",
            "telephone_number": "804-590-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSIDE TO YOUTH DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "804-541-7894",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "1082-05-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.