Organization Active NPI

Youth Homes, Inc.

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1952580342
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0002099 Issued in NC
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

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
Mr. Frank Crawford, M.A.
Title
Executive Director
Phone
(704) 334-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
6005709MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Youth Homes Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.