Active NPI
Youth Homes, Inc.
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1952580342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0002099
- Legal business name
- YOUTH HOMES, INC.
- Practice address
- 601 E 5TH St
Suite 330
Charlotte, NC 28202-3031 - Phone
- (704) 334-9955
- Fax
- (704) 375-7497
- 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
- Mr. Frank Crawford, M.A.
- Title
- Executive Director
- Phone
- (704) 334-9955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0002099 | NC | Primary |
Addresses
Primary practice location
601 E 5TH St
Suite 330
Charlotte, NC 28202-3031
Mailing address
601 E 5TH St
Suite 330
Charlotte, NC 28202-3031
Phone (704) 334-9955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005709 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Youth Homes Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Charlotte, NC
- NPI 1508042490
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1386704450
Locations
601 E 5th St
Ste 330
Charlotte, NC 28202
Phone (704) 334-9955
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": "1952580342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E 5TH ST",
"address_2": "SUITE 330",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282023031",
"telephone_number": "704-334-9955",
"fax_number": "704-375-7497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E 5TH ST",
"address_2": "SUITE 330",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282023031",
"telephone_number": "704-334-9955",
"fax_number": "704-375-7497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUTH HOMES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-01",
"last_updated": "2007-11-01",
"status": "A",
"authorized_official_last_name": "CRAWFORD",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "704-334-9955",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.A."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "0002099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005709",
"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 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.