NPIMap

Organization Active NPI

Youth Health Associates, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Los Lunas, NM
National Provider Identifier
1760026942
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
YOUTH HEALTH ASSOCIATES, INC.
Practice address
40 Hob Rd
Los Lunas, NM 87031-7601
Phone
(505) 903-4411
Fax
(801) 683-8962
NPI assigned
Oct 31, 2019
Last updated
Oct 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Shayne Miller
Title
Cfo
Phone
(801) 330-8845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

40 Hob Rd
Los Lunas, NM 87031-7601

Mailing address

299 N 200 W
Bountiful, UT 84010-7043
Phone (801) 330-8845

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1760026942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 N 200 W",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107043",
            "telephone_number": "801-330-8845",
            "fax_number": "801-683-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HOB RD",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317601",
            "telephone_number": "505-903-4411",
            "fax_number": "801-683-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH HEALTH ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHAYNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "801-330-8845"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.