Family & Youth Service, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FAMILY & YOUTH SERVICE, INC.

Practice address

115 East Main St
Conway, NC 27820

Phone

(919) 680-2345

Fax

(919) 680-8685

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Angela L Ford

Title

President

Phone

(919) 680-2345

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730209149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 W MAIN ST",
            "address_2": "SUITE 611",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013232",
            "telephone_number": "919-680-2345",
            "fax_number": "919-680-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EAST MAIN ST",
            "city": "CONWAY",
            "state": "NC",
            "postal_code": "27820",
            "telephone_number": "919-680-2345",
            "fax_number": "919-680-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY & YOUTH SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-680-2345"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301558",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya K Archer, FNP
• Bio-Medical Applications of North Carolina, Inc.
• Conway-Severn Rescue Squad Inc
• Family & Youth Services Inc.
• Northampton Family Practice, PC
• Northeastern Home Care, Inc.
• Regional in-Home Health Care Inc
• Melissa Tapscott

• Case Management Agency in Conway, NC
• Providers in Conway, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.