Youth Enrichment Solutions Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

YOUTH ENRICHMENT SOLUTIONS INC.

Practice address

7101 W 12TH St Ste 301B
Little Rock, AR 72204-2463

Phone

(501) 687-4124

Fax

(501) 400-8188

NPI assigned

Sep 2, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Denise Moore

Title

Chief Executive Officer

Phone

(501) 687-4124

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Youth Enrichment Solutions Former legal business name

Locations

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1861892416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 W 12TH ST STE 301B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042463",
            "telephone_number": "501-687-4124",
            "fax_number": "501-400-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 W 12TH ST STE 301B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042463",
            "telephone_number": "501-687-4124",
            "fax_number": "501-400-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH ENRICHMENT SOLUTIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "501-687-4124",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203157742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Enrichment Solutions",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Early Intervention Provider Agency in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Early Intervention Provider Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.