NPIMap

Organization Active NPI

Youth Development Corporation of America

Doing business as Caring Family Network

  • Community/Behavioral Health Agency
  • Roxboro, NC
National Provider Identifier
1386785228
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOUTH DEVELOPMENT CORPORATION OF AMERICA
Doing business as
Caring Family Network
Practice address
355 S Madison Blvd Ste C
Roxboro, NC 27573-5485
Phone
(336) 599-8366
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Brelyn Waddell
Title
Billing Specialist Supervisor
Phone
(919) 323-8090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

355 S Madison Blvd Ste C
Roxboro, NC 27573-5485

Mailing address

6015 Fayetteville Rd
Suite 211
Durham, NC 27713-6254

Other identifiers 3

IdentifierTypeStateIssuer
5903807MedicaidNC
6005837MedicaidNC
8301081MedicaidNC

Other names 1

  • Caring Family Network Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caring Family Network17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1386785228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 FAYETTEVILLE RD",
            "address_2": "SUITE 211",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S MADISON BLVD STE C",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275735485",
            "telephone_number": "336-599-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH DEVELOPMENT CORPORATION OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "BRELYN",
        "authorized_official_title_or_position": "BILLING SPECIALIST SUPERVISOR",
        "authorized_official_telephone_number": "919-323-8090"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903807",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005837",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301081",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Family Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roxboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.