NPIMap

Organization Active NPI

Caring Arms Youth and Family Services, Inc.

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1942353172
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CARING ARMS YOUTH AND FAMILY SERVICES, INC.
Practice address
416 McCullough Dr
Suite 130
Charlotte, NC 28262-4389
Phone
(704) 510-1600
Fax
(704) 510-9222
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Authorized official

Name
Ms. Rosalyn Jackson
Title
Owner - Program Administrator
Phone
(704) 510-1600

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X NC
Community/Behavioral Health Agency 251S00000X NC Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-060-883 NC
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-0410713 NC

Addresses

Primary practice location

416 McCullough Dr
Suite 130
Charlotte, NC 28262-4389

Mailing address

416 McCullough Dr
Suite 130
Charlotte, NC 28262-4389
Phone (704) 510-1600

Other identifiers 7

IdentifierTypeStateIssuer
5915734MedicaidNC
6008004MedicaidNC
6603738MedicaidNC
6603438MedicaidNC
8301572MedicaidNC
8301556MedicaidNC
8303174MedicaidNC

National Provider Directory

National Provider Directory

Locations

416 McCullough Dr
Ste 130
Charlotte, NC 28262
Phone (704) 510-1600

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1942353172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 MCCULLOUGH DR",
            "address_2": "SUITE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624389",
            "telephone_number": "704-510-1600",
            "fax_number": "704-510-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 MCCULLOUGH DR",
            "address_2": "SUITE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624389",
            "telephone_number": "704-510-1600",
            "fax_number": "704-510-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING ARMS YOUTH AND FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_title_or_position": "OWNER - PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "704-510-1600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-060-883",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-0410713",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915734",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008004",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603738",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603438",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301572",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301556",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303174",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.