NPIMap

Organization Active NPI

Hearthstone Youth and Family Serv

  • Community/Behavioral Health Agency
  • Yanceyville, NC
National Provider Identifier
1609912922
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HEARTHSTONE YOUTH AND FAMILY SERV
Practice address
474 NC Highway 62 S
Yanceyville, NC 27379-8504
Phone
(336) 694-0906
Fax
(336) 694-5920
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Mr. Nathaniel Hall
Title
Ceo
Phone
(336) 694-0906

Specialties & licenses 1

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

Addresses

Primary practice location

474 NC Highway 62 S
Yanceyville, NC 27379-8504

Mailing address

474 NC Hwy 62 South
PO Box 1262
Yanceyville, NC 27379-8504
Phone (336) 694-0906

Other identifiers 1

IdentifierTypeStateIssuer
8300561MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Hearthstone Youth and Family Serv5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1609912922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 NC HWY 62 SOUTH",
            "address_2": "PO BOX 1262",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273798504",
            "telephone_number": "336-694-0906",
            "fax_number": "336-694-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 NC HIGHWAY 62 S",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273798504",
            "telephone_number": "336-694-0906",
            "fax_number": "336-694-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTHSTONE YOUTH AND FAMILY SERV",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-694-0906",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300561",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yanceyville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.