Youth Homes

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

7001001 Issued in MT

Legal business name

YOUTH HOMES

Practice address

550 N California St
Missoula, MT 59802-3913

Phone

(406) 721-2704

Fax

(406) 721-0034

NPI assigned

Mar 21, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Geoffrey Birnbaum

Title

Executive Director

Phone

(406) 721-2704

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Youth Homes3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Youth Homes

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Missoula, MT
  • NPI 1205055878
  NPD tax ID
• Youth Homes

  • Community/Behavioral Health Agency
  • Missoula, MT
  • NPI 1841550621
  NPD tax ID

Locations

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1902105620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7616",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598077616",
            "telephone_number": "406-721-2704",
            "fax_number": "406-721-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N CALIFORNIA ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023913",
            "telephone_number": "406-721-2704",
            "fax_number": "406-721-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "BIRNBAUM",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "406-721-2704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MT",
            "license": "7001001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12050558778",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael S Young, M.D.
• Shelby Youngblood, PHARMD
• Your Migraine Care Missoula LLC
• Youth Homes
• Youth Homes
• Ywca Missoula
• Leslie Ann Zahn, LMT
• Terence J Zahn, DDS
• Nicholas Zakovich
• Marina Zaleski, E-RYT500, CYT

• Mental Illness Community Based Residential Treatment Facility in Missoula, MT
• Providers in Missoula, MT by specialty
• Mental Illness Community Based Residential Treatment Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.