NPIMap

Organization Active NPI

Family & Youth Service

  • Developmentally Disabled Services Day Training Agency
  • Durham, NC
National Provider Identifier
1578695979
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
MHL 032 328 Issued in NC
Legal business name
FAMILY & YOUTH SERVICE
Practice address
331 W Main St
Suite 611
Durham, NC 27701-3232
Phone
(919) 680-2345
Fax
(919) 680-8685
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Angela L Ford
Title
President
Phone
(919) 680-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X MHL 032 328 NC Primary

Addresses

Primary practice location

331 W Main St
Suite 611
Durham, NC 27701-3232

Mailing address

331 W Main St
Suite 611
Durham, NC 27701-3232
Phone (919) 680-2345

Other identifiers 1

IdentifierTypeStateIssuer
3418223MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Family Youth Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578695979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 W MAIN ST",
            "address_2": "SUITE 611",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013232",
            "telephone_number": "919-680-2345",
            "fax_number": "919-680-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 W MAIN ST",
            "address_2": "SUITE 611",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013232",
            "telephone_number": "919-680-2345",
            "fax_number": "919-680-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY & YOUTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-680-2345",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL 032 328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418223",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.