NPIMap

Organization Active NPI

Upside to Youth Development,LLC

  • Community/Behavioral Health Agency
  • Hopewell, VA
National Provider Identifier
1609166370
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UPSIDE TO YOUTH DEVELOPMENT,LLC
Practice address
320 E Broadway Ave
Hopewell, VA 23860-2812
Phone
(804) 541-7894
Fax
(804) 541-7895
NPI assigned
Apr 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Authorized official

Name
Mr. Brandon C Hudson
Title
Chief Executive Officer
Phone
(804) 541-7894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

320 E Broadway Ave
Hopewell, VA 23860-2812

Mailing address

320 E Broadway Ave
Hopewell, VA 23860-2812
Phone (804) 541-7894

National Provider Directory

National Provider Directory
Tax ID family
Upside to Youth Development LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1609166370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E BROADWAY AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602812",
            "telephone_number": "804-541-7894",
            "fax_number": "804-541-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E BROADWAY AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602812",
            "telephone_number": "804-541-7894",
            "fax_number": "804-541-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSIDE TO YOUTH DEVELOPMENT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "804-541-7894",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.