NPIMap

Organization Active NPI

G4S Youth Services, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hastings, FL
National Provider Identifier
1902860182
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
G4S YOUTH SERVICES, LLC
Practice address
765 E Saint Johns Ave
Hastings, FL 32145-3936
Phone
(904) 692-2920
Fax
(904) 692-3611
NPI assigned
Apr 14, 2006
Organization subpart
No

National Provider Directory

National Provider Directory
Tax ID family
G4S Youth Services LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

765 E Saint Johns Ave
Hastings, FL 32145
Phone (904) 692-2920

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Dr. Gail Y Browne, PH.D.
Title
Ceo
Phone
(804) 754-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

765 E Saint Johns Ave
Hastings, FL 32145-3936

Mailing address

9609 Gayton Rd
Suite 100
Richmond, VA 23238-4900
Phone (804) 754-1100

Other identifiers 1

IdentifierTypeStateIssuer
0707546 00MedicaidFL

Other names 1

  • Securicor New Century, LLC Former legal business name

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1902860182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9609 GAYTON RD",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232384900",
            "telephone_number": "804-754-1100",
            "fax_number": "804-741-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 E SAINT JOHNS AVE",
            "city": "HASTINGS",
            "state": "FL",
            "postal_code": "321453936",
            "telephone_number": "904-692-2920",
            "fax_number": "904-692-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G4S YOUTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "BROWNE",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-754-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0707546 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Securicor New Century, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hastings, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.