NPIMap

Organization Active NPI

Yahweh Center Childrens Village

  • Psychiatric Residential Treatment Facility
  • Castle Hayne, NC
National Provider Identifier
1780016550
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
MHL065-208 Issued in NC
Legal business name
YAHWEH CENTER CHILDRENS VILLAGE
Doing business as
Yahweh Center Inc
Practice address
5107 Lamb'S Path Way
Castle Hayne, NC 28429
Phone
(910) 675-3533
NPI assigned
Aug 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Mrs. Carla Roberts
Title
Founder/Executive Director
Phone
(910) 675-3533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X MHL065-208 NC Primary

Addresses

Primary practice location

5107 Lamb'S Path Way
Castle Hayne, NC 28429

Mailing address

PO Box 10399
Wilmington, NC 28404-0399
Phone (910) 675-3533

Other identifiers 1

IdentifierTypeStateIssuer
3404561MedicaidNC

Other names 1

  • Yahweh Center Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Yahweh Center Childrens Village3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1780016550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10399",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284040399",
            "telephone_number": "910-675-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 LAMB'S PATH WAY",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "28429",
            "telephone_number": "910-675-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAHWEH CENTER CHILDRENS VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-675-3533",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NC",
            "license": "MHL065-208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404561",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yahweh Center Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castle Hayne, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.