Active NPI
Youth Train Ventures
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Burlington, NC
National Provider Identifier
1942489331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- MHL-001-100
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603321 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Youth Train Ventures
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Burlington, NC
- NPI 1679745202
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.