NPIMap

Organization Active NPI

Yelverton'S Enrichment Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Raleigh, NC
National Provider Identifier
1992181028
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-092-925 Issued in NC
Legal business name
YELVERTON'S ENRICHMENT SERVICES, INC.
Practice address
1705 Rocky Stream LN
Raleigh, NC 27610-8648
Phone
(984) 269-5340
NPI assigned
Jul 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Vickie Smith Yelverton
Title
Executive Program Director
Phone
(919) 961-5123

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-092-925 NC
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-092-925 NC Primary

Addresses

Primary practice location

1705 Rocky Stream LN
Raleigh, NC 27610-8648

Mailing address

5809 Departure Dr
Suite 106
Raleigh, NC 27616-1935
Phone (919) 872-6220

Other identifiers 1

IdentifierTypeStateIssuer
MHL-092-925OtherNCDHSR

National Provider Directory

National Provider Directory
Tax ID family
Yelvertons Enrichment Services Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1992181028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 DEPARTURE DR",
            "address_2": "SUITE 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276161935",
            "telephone_number": "919-872-6220",
            "fax_number": "919-872-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 ROCKY STREAM LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276108648",
            "telephone_number": "984-269-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELVERTON'S ENRICHMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "YELVERTON",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "EXECUTIVE PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "919-961-5123"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-092-925",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-092-925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHSR",
            "identifier": "MHL-092-925",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.