NPIMap

Organization Active NPI

Supported Living Youth, Family and Children Services, Inc.

  • Community/Behavioral Health Agency
  • Peachland, NC
National Provider Identifier
1437313129
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUPPORTED LIVING YOUTH, FAMILY AND CHILDREN SERVICES, INC.
Practice address
29 E. Passaic Street
Peachland, NC 28133
Phone
(704) 283-6002
NPI assigned
Jul 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Kirk Anthony Hillian
Title
Director
Phone
(704) 283-6002

Specialties & licenses 1

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

Addresses

Primary practice location

29 E. Passaic Street
Peachland, NC 28133

Mailing address

PO Box 3398
Monroe, NC 28111-3398
Phone (704) 283-6002

National Provider Directory

National Provider Directory
Tax ID family
Supported Living Youth Family and Children Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1437313129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3398",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281113398",
            "telephone_number": "704-283-6002",
            "fax_number": "704-225-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E. PASSAIC STREET",
            "city": "PEACHLAND",
            "state": "NC",
            "postal_code": "28133",
            "telephone_number": "704-283-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTED LIVING YOUTH, FAMILY AND CHILDREN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "HILLIAN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-283-6002"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.