Organization Active NPI

Creative Youth Concepts Inc.

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1760655310
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CREATIVE YOUTH CONCEPTS INC.
Practice address
2007 Brook Rd
Richmond, VA 23220-1807
Phone
(804) 525-4101
Fax
(804) 525-4102
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Quo Vadis D Ford
Title
President
Phone
(804) 525-4101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2007 Brook Rd
Richmond, VA 23220-1807

Mailing address

2007 Brook Rd
Richmond, VA 23220-1807
Phone (804) 525-4101

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1760655310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 BROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232201807",
            "telephone_number": "804-525-4101",
            "fax_number": "804-525-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 BROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232201807",
            "telephone_number": "804-525-4101",
            "fax_number": "804-525-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE YOUTH CONCEPTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "QUO VADIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-525-4101"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.