NPIMap

Organization Active NPI

Charis Youth Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Grass Valley, CA
National Provider Identifier
1821175258
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
297002555 Issued in CA
Legal business name
CHARIS YOUTH CENTER
Practice address
714 W Main St
Grass Valley, CA 95945-6410
Phone
(530) 477-9800
Fax
(530) 477-9803
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Carol Powell
Title
Executive Director
Phone
(530) 477-9800

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 297001165 CA
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 297001166 CA
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 297002555 CA Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 297003442 CA

Addresses

Primary practice location

714 W Main St
Grass Valley, CA 95945-6410

Mailing address

714 W Main St
Grass Valley, CA 95945-6410
Phone (530) 477-9800

National Provider Directory

National Provider Directory
Tax ID family
Charis Youth Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1821175258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W MAIN ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959456410",
            "telephone_number": "530-477-9800",
            "fax_number": "530-477-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W MAIN ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959456410",
            "telephone_number": "530-477-9800",
            "fax_number": "530-477-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIS YOUTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-477-9800"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "297001165",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "297001166",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "297002555",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "297003442",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.