NPIMap

Organization Active NPI

Supported Living Youth, Family and Children Services, Inc.

  • Community/Behavioral Health Agency
  • Hickory, NC
National Provider Identifier
1861655623
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUPPORTED LIVING YOUTH, FAMILY AND CHILDREN SERVICES, INC.
Practice address
741 5TH St SW
Suite 16
Hickory, NC 28602-3230
Phone
(828) 322-1431
Fax
(828) 322-8764
NPI assigned
Jul 2, 2008
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Kirk Anthony Hillian
Title
Director
Phone
(704) 604-1566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

741 5TH St SW
Suite 16
Hickory, NC 28602-3230

Mailing address

PO Box 3398
Monroe, NC 28111-3398
Phone (704) 283-6002

National Provider Directory

National Provider Directory
Tax ID family
Supported Living Youth Family and Children Services Inc5 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.

Locations

741 5th St SW
Ste 16
Hickory, NC 28602
Phone (828) 322-1431

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1861655623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3398",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281113398",
            "telephone_number": "704-283-6002",
            "fax_number": "704-225-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 5TH ST SW",
            "address_2": "SUITE 16",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286023230",
            "telephone_number": "828-322-1431",
            "fax_number": "828-322-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTED LIVING YOUTH, FAMILY AND CHILDREN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "HILLIAN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-604-1566"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.