NPIMap

Organization Active NPI

Youth Options Under Teen Health, Inc

  • Student in an Organized Health Care Education/Training Program
  • Winnsboro, SC
National Provider Identifier
1730148370
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
390200000X Issued in SC
Legal business name
YOUTH OPTIONS UNDER TEEN HEALTH, INC
Practice address
14 Kennedy Rd
Winnsboro, SC 29180-5906
Phone
(803) 635-2736
Fax
(803) 633-8187
NPI assigned
Mar 22, 2006
Last updated
Jul 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Mrs. Rudene BudhooNPI 1821394313
Title
Executive Director
Phone
(803) 635-2736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 390200000X SC Primary

Addresses

Primary practice location

14 Kennedy Rd
Winnsboro, SC 29180-5906

Mailing address

14 Kennedy Rd
P.O. Box 645
Winnsboro, SC 29180-5906
Phone (803) 635-2736

Other identifiers 1

IdentifierTypeStateIssuer
MC0046MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Youth Options Under Teen Health Inc2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1730148370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 KENNEDY RD",
            "address_2": "P.O. BOX 645",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291805906",
            "telephone_number": "803-635-2736",
            "fax_number": "803-633-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 KENNEDY RD",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291805906",
            "telephone_number": "803-635-2736",
            "fax_number": "803-633-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH OPTIONS UNDER TEEN HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "BUDHOO",
        "authorized_official_first_name": "RUDENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-635-2736",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SC",
            "license": "390200000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC0046",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.