Organization Active NPI

New Beginnings Youth Facility

  • Community/Behavioral Health Agency
  • Ramseur, NC
National Provider Identifier
1396069472
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL 076-069 Issued in NC
Legal business name
NEW BEGINNINGS YOUTH FACILITY
Practice address
130 Brady Street Ext
Ramseur, NC 27316-8701
Phone
(336) 824-3314
Fax
(336) 824-4659
NPI assigned
Mar 18, 2010
Last updated
Mar 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
Ms. Kimesha Kelly Spinks
Title
President
Phone
(336) 824-3314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL 076-069 NC Primary

Addresses

Primary practice location

130 Brady Street Ext
Ramseur, NC 27316-8701

Mailing address

PO Box 157
Ramseur, NC 27316-0157
Phone (336) 824-3314

Other identifiers 2

IdentifierTypeStateIssuer
6603708MedicaidNC
8302104MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
New Beginnings Youth Facility3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

130 Brady Street Ext
Ramseur, NC 27316
Phone (336) 824-3314

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1396069472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "RAMSEUR",
            "state": "NC",
            "postal_code": "273160157",
            "telephone_number": "336-824-3314",
            "fax_number": "336-824-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BRADY STREET EXT",
            "city": "RAMSEUR",
            "state": "NC",
            "postal_code": "273168701",
            "telephone_number": "336-824-3314",
            "fax_number": "336-824-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS YOUTH FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "SPINKS",
        "authorized_official_first_name": "KIMESHA",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-824-3314",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL 076-069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603708",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302104",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramseur, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.