United Youth Care Service

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

Legal business name

UNITED YOUTH CARE SERVICE

Practice address

200 Fisher Ave
High Point, NC 27262-2672

Phone

(336) 370-9232

NPI assigned

Feb 16, 2010

Last updated

Feb 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald A Booker

Title

Ceo

Phone

(336) 370-9232

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1457673584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 4TH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FISHER AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272622672",
            "telephone_number": "336-370-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED YOUTH CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-370-9232"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408412",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Child Mental Illness Respite Care in High Point, NC
• Providers in High Point, NC by specialty
• Child Mental Illness Respite Care in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.