Organization Active NPI

Youth Train Ventures, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Burlington, NC
National Provider Identifier
1679745202
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL000135 Issued in NC
Legal business name
YOUTH TRAIN VENTURES, INC.
Practice address
913 S Main St
Burlington, NC 27215-5756
Phone
(336) 227-2379
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Peter Tyler, BA,QP
Title
Director of Day Treatment Programs
Phone
(336) 227-2379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL000135 NC Primary

Addresses

Primary practice location

913 S Main St
Burlington, NC 27215-5756

Mailing address

913 S Main St
Burlington, NC 27215-5756

Other identifiers 1

IdentifierTypeStateIssuer
1942489331MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Youth Train Ventures2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

913 S Main St
Burlington, NC 27215
Phone (336) 227-1484

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1679745202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 S MAIN ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S MAIN ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155756",
            "telephone_number": "336-227-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH TRAIN VENTURES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DIRECTOR OF DAY TREATMENT PROGRAMS",
        "authorized_official_telephone_number": "336-227-2379",
        "authorized_official_credential": "BA,QP"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL000135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942489331",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.