NPIMap

Organization Active NPI

Brooks & Associates Youth and Family Services, LL

  • Home Health Agency
  • Shallotte, NC
National Provider Identifier
1487948576
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3931 Issued in NC
Legal business name
BROOKS & ASSOCIATES YOUTH AND FAMILY SERVICES, LL
Practice address
4450 Main St
Shallotte, NC 28470-4450
Phone
(910) 755-2011
NPI assigned
Jun 6, 2011
Organization subpart
Yes
Parent organization
OCEANIC INFINITE CAP SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Authorized official

Name
Mrs. Sandra Brooks
Title
Executive Director
Phone
(910) 755-2011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3931 NC Primary

Addresses

Primary practice location

4450 Main St
Shallotte, NC 28470-4450

Mailing address

4450 Main St
Shallotte, NC 28470-4450
Phone (910) 755-2011

Other identifiers 1

IdentifierTypeStateIssuer
3418622MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Brooks Associates Youth and Family Services LL4 organizations share this tax ID, including this one
Part of
Brooks Associates Youth and Family Services LL

Other organizations with this tax ID 3

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": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1487948576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 MAIN ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704450",
            "telephone_number": "910-755-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 MAIN ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704450",
            "telephone_number": "910-755-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS & ASSOCIATES YOUTH AND FAMILY SERVICES, LL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCEANIC INFINITE CAP SERVICES",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-755-2011",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418622",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.