NPIMap

Organization Active NPI

Supported Living Youth Family & Children Services

  • Counselor
  • Monroe, NC
National Provider Identifier
1710020854
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MHL090120 Issued in NC
Legal business name
SUPPORTED LIVING YOUTH FAMILY & CHILDREN SERVICES
Practice address
100 Serenity Hills Drive
Monroe, NC 28110-8610
Phone
(704) 283-6002
Fax
(704) 225-1582
NPI assigned
Feb 15, 2007
Last updated
Aug 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Kirk Anthony Hillian
Title
Director
Phone
(704) 283-6002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MHL090120 NC Primary

Addresses

Primary practice location

100 Serenity Hills Drive
Monroe, NC 28110-8610

Mailing address

PO Box 3398
Monroe, NC 28111-3398
Phone (704) 283-6002

National Provider Directory

National Provider Directory
Tax ID family
Supported Living Youth Family and Children Services Inc5 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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1710020854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3398",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281113398",
            "telephone_number": "704-283-6002",
            "fax_number": "704-225-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SERENITY HILLS DRIVE",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108610",
            "telephone_number": "704-283-6002",
            "fax_number": "704-225-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTED LIVING YOUTH FAMILY & CHILDREN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "HILLIAN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-283-6002"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "MHL090120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.