Youth Changes Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

YOUTH CHANGES INC

Practice address

826 Brooks Ave Ste 5C
Madison, TN 37115-2823

Phone

(615) 972-9796

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Teia Wilson Davis, N/A

Title

Executive Director

Phone

(615) 972-9796

Specialties & licenses 7

Addresses

Other names 1

• Youth Changes Doing business as

Tax ID family

Youth Changes2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Youth Changes Inc

  • In Home Supportive Care Agency
  • Hendersonville, TN
  • NPI 1134766272
  NPD tax ID

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1437902855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 W MAIN ST STE 5C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753314",
            "telephone_number": "615-972-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 BROOKS AVE STE 5C",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152823",
            "telephone_number": "615-972-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH CHANGES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TEIA",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-972-9796",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Changes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Yemane
• Randi L Yontz, AUD
• Ian Young, PHARMD
• Richard O Young, CRNA
• Robert Brent Young, LCSW
• Alisa Marie Zajac
• Jenna Zavetz, OTR
• Mene Sugage Zua, MD
• Patrick Joseph Zuller, RN

• In Home Supportive Care Agency in Madison, TN
• Providers in Madison, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.