Youth Opportunity Investments, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

YOUTH OPPORTUNITY INVESTMENTS, LLC

Doing business as

Youth Opportunity

Practice address

696 N FM 487
Rockdale, TX 76567-6005

Phone

(512) 446-3930

NPI assigned

Apr 4, 2017

Last updated

Sep 7, 2023By 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

Mr. Ronald D Hunter

Title

Ceo

Phone

(317) 587-8880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Youth Opportunity Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Youth Opportunity Investments LLC3 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.

• Youth Opportunity Investments LLC

  dba Brooksville Youth Academy

  • Psychiatric Residential Treatment Facility
  • Brooksville, FL
  • NPI 1023875507
  NPD tax ID
• Youth Opportunity Investments, LLC

  dba West Central Ohio Academy

  • Psychiatric Residential Treatment Facility
  • Troy, OH
  • NPI 1366284796
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kionna Jenise Jones, LCSW

  • Clinical Social Worker
  • Memphis, TN
  • NPI 1710440649
  NPD (past)
• Mandy Klein, LCSW

  • Clinical Social Worker
  • Bartlett, TN
  • NPI 1306862966
  NPD (past)

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

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    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1487187704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12775 HORSEFERRY RD STE 230",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327265",
            "telephone_number": "317-587-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 N FM 487",
            "city": "ROCKDALE",
            "state": "TX",
            "postal_code": "765676005",
            "telephone_number": "512-446-3930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 Brunswick Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381334106",
            "country_code": "US",
            "telephone_number": "901-531-1950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Hatcher Ln",
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            "city": "Elizabethton",
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            "country_code": "US",
            "telephone_number": "423-617-0959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Industrial Ct SW",
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            "telephone_number": "423-380-8446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 S Hickory Ave",
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            "city": "Gallatin",
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            "telephone_number": "615-230-2937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4455 Benders Ferry Rd",
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            "city": "MT Juliet",
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            "telephone_number": "615-649-9463",
            "country_name": "United States",
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        },
        {
            "address_1": "3065 Murfreesboro Rd",
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            "country_code": "US",
            "telephone_number": "615-443-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "503 Cardiff Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Rockwood",
            "state": "TN",
            "postal_code": "378544142",
            "country_code": "US",
            "telephone_number": "865-245-6003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8835 Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Evart",
            "state": "MI",
            "postal_code": "496318087",
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            "telephone_number": "231-734-3787",
            "country_name": "United States",
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        },
        {
            "address_1": "1719 E High St",
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            "city": "MT Pleasant",
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            "postal_code": "488588989",
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            "telephone_number": "989-775-6212",
            "country_name": "United States",
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        },
        {
            "address_1": "3030 Long Ln",
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            "postal_code": "496317218",
            "country_code": "US",
            "telephone_number": "231-734-6254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14692 NE County Road 199",
            "address_purpose": "LOCATION",
            "city": "Raiford",
            "state": "FL",
            "postal_code": "320832519",
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            "telephone_number": "386-431-1997",
            "country_name": "United States",
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        },
        {
            "address_1": "4055 NW 105th St",
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        {
            "address_1": "2330 New Beginnings Rd",
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            "city": "Kissimmee",
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            "postal_code": "347445434",
            "country_code": "US",
            "telephone_number": "407-350-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4449 Straight Line Rd",
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            "city": "Crestview",
            "state": "FL",
            "postal_code": "325396720",
            "country_code": "US",
            "telephone_number": "850-683-3908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8301 S Palm Dr Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330254535",
            "country_code": "US",
            "telephone_number": "954-962-1088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Culbreath Rd",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346026017",
            "country_code": "US",
            "telephone_number": "352-799-5654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12775 Horseferry Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460327265",
            "country_code": "US",
            "telephone_number": "317-587-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUTH OPPORTUNITY INVESTMENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2023-09-07",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-587-8880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE - DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES",
            "identifier": "L0000000025629",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Opportunity",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Youth Opportunity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Richard Todd
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0280)
• John Weed III, M.D.
• Angela Marie White, LPC
• Emily Lin Wong, PA-C

• Psychiatric Residential Treatment Facility in Rockdale, TX
• Providers in Rockdale, TX by specialty
• Psychiatric Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.