Youth Stars

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

YOUTH STARS

Practice address

102 Teakwood Dr
Suite F
Greensboro, NC 27406-8185

Phone

(336) 617-7908

NPI assigned

Jan 27, 2011

Last updated

Feb 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Javon Gilliard

Title

Director

Phone

(336) 617-7908

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1821394610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 TEAKWOOD DR",
            "address_2": "SUITE F",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068185",
            "telephone_number": "336-617-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 TEAKWOOD DR",
            "address_2": "SUITE F",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068185",
            "telephone_number": "336-617-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH STARS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "GILLIARD",
        "authorized_official_first_name": "JAVON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-617-7908"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youth Focus, Inc. (Building Futures)
• Youth Haven Services, Inc.
• Youth Profile Inc.
• Youth Profile, Inc.
• Youth Profile, Inc.
• Youth Villages
• Amanda Pace Youth, CRNA
• Youthful Image Inc
• Lynn N. Yow, NP
• Yram Home Care LLC

• Private Vehicle in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Private Vehicle in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.