NPIMap

Organization Active NPI

United Methodist Youthville Inc

Doing business as Youthville

  • Case Management Agency
  • Concordia, KS
National Provider Identifier
1790800928
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
771-1 Issued in KS
Legal business name
UNITED METHODIST YOUTHVILLE INC
Doing business as
Youthville
Practice address
1010 3Rd Ave
Concordia, KS 66901-4003
Phone
(785) 243-4236
Fax
(316) 283-9540
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dany Ray Monares, LBSW
Title
Provider Relations Manager
Phone
(316) 283-1950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 771-1 KS Primary

Addresses

Primary practice location

1010 3Rd Ave
Concordia, KS 66901-4003

Mailing address

900 W Broadway St
Newton, KS 67114-2037
Phone (316) 283-1950

Other names 1

  • Youthville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
United Methodist Youthivlle11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790800928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W BROADWAY ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671142037",
            "telephone_number": "316-283-1950",
            "fax_number": "316-283-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 3RD AVE",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669014003",
            "telephone_number": "785-243-4236",
            "fax_number": "316-283-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED METHODIST YOUTHVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONARES",
        "authorized_official_first_name": "DANY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PROVIDER RELATIONS MANAGER",
        "authorized_official_telephone_number": "316-283-1950",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "KS",
            "license": "771-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youthville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concordia, KS

Sources for this page

  • 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.