NPIMap

Organization Active NPI

Youth Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Concord, CA
National Provider Identifier
1386206274
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
YOUTH HOMES, INC.
Practice address
1159 Everett CT
Concord, CA 94518-1714
Phone
(925) 933-2627
Fax
(925) 933-5824
NPI assigned
Jul 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Authorized official

Name
Shaina Van Pelt
Title
Director of Operations
Phone
(928) 876-1153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1159 Everett CT
Concord, CA 94518-1714

Mailing address

3480 Buskirk Ave Ste 210
Pleasant Hill, CA 94523-4304
Phone (925) 933-2627

Other names 1

  • Andersen House Other name

National Provider Directory

National Provider Directory
Tax ID family
Youth Homes Inc6 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.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1386206274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 BUSKIRK AVE STE 210",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234304",
            "telephone_number": "925-933-2627",
            "fax_number": "925-933-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 EVERETT CT",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945181714",
            "telephone_number": "925-933-2627",
            "fax_number": "925-933-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "VAN PELT",
        "authorized_official_first_name": "SHAINA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "928-876-1153"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andersen House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.