Yabsa Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL084063 Issued in NC

Legal business name

YABSA INC

Practice address

1828 Cedar Ave
Albemarle, NC 28001-4510

Phone

(704) 985-1400

Fax

(704) 985-1409

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Watkins Hearne

Title

Ceo

Phone

(704) 985-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Yabsa Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Yabsa Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Albemarle, NC
  • NPI 1780738096
  NPD tax ID

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881749778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2314",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280022314",
            "telephone_number": "704-985-1400",
            "fax_number": "704-985-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 CEDAR AVE",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280014510",
            "telephone_number": "704-985-1400",
            "fax_number": "704-985-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YABSA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEARNE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "WATKINS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-985-1400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL084063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603987",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Witting, CCC-SLP
• Amisha V Woods
• WP-Albemarle Health Holdings, LLC (Woodhaven Court)
• Ashley Wright
• Donna Darlene Wright, CNM
• Yabsa Inc.
• Anjana Menon Young, CRNA
• Terica Natasha Young, MD
• Alla Zemlyak, MD
• Leora Komeh Zilka, OTR

• Emotionally Disturbed Childrens' Residential Treatment Facility in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.