Organization Active NPI

Youth Train Ventures

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Burlington, NC
National Provider Identifier
1942489331
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-001-100 Issued in NC
Legal business name
YOUTH TRAIN VENTURES
Practice address
3309B North Carolina Highway 49 North
Burlington, NC 27217
Phone
(336) 222-8522
Fax
(336) 222-8533
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Miss Wendy Renee Jones
Title
Program Director
Phone
(336) 222-8522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-001-100 NC Primary

Addresses

Primary practice location

3309B North Carolina Highway 49 North
Burlington, NC 27217

Mailing address

909A South Main Street
Burlington, NC 27215
Phone (336) 222-8522

Other identifiers 1

IdentifierTypeStateIssuer
6603321MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Youth Train Ventures2 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.

Locations

3309 N NC Highway 49
#B
Burlington, NC 27217
Phone (336) 222-8522

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1942489331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909A SOUTH MAIN STREET",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "27215",
            "telephone_number": "336-222-8522",
            "fax_number": "336-222-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309B NORTH CAROLINA HIGHWAY 49 NORTH",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "27217",
            "telephone_number": "336-222-8522",
            "fax_number": "336-222-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH TRAIN VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "336-222-8522",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-001-100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603321",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.