Organization Active NPI

Youth Renewal Sciences LLC

Doing business as Youth Renewal

  • Clinic/Center
  • Glendale, AZ
National Provider Identifier
1821881012
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
YOUTH RENEWAL SCIENCES LLC
Doing business as
Youth Renewal
Practice address
17100 N 67TH Ave
Glendale, AZ 85308-3605
Phone
(623) 878-8999
NPI assigned
May 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Clinton Hughes
Title
Ceo
Phone
(623) 628-8685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

17100 N 67TH Ave
Glendale, AZ 85308-3605

Mailing address

19031 N 47TH Cir
Glendale, AZ 85308-4869
Phone (623) 628-8685

Other practice location 1

9200 E Raintree Dr Ste 100
Scottsdale, AZ 85260-7308
Phone (480) 799-7999

Other names 1

  • Youth Renewal Doing business as

National Provider Directory

National Provider Directory

Locations

17100 N 67th Ave
Glendale, AZ 85308
Phone (623) 878-8999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1821881012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19031 N 47TH CIR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084869",
            "telephone_number": "623-628-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083605",
            "telephone_number": "623-878-8999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 E Raintree Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852607308",
            "country_code": "US",
            "telephone_number": "480-799-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUTH RENEWAL SCIENCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-628-8685"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Renewal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.