Youth Enrichment Group Home, Inc. in Greensboro - Residential Treatment Facility, Emotionally Disturbed Children
Youth Enrichment Group Home, Inc. - NPI 1528119096
Youth Enrichment Group Home, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Greensboro, North Carolina. Youth Enrichment Group Home, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Youth Enrichment Group Home, Inc. is 1528119096. The last update date is 2019-06-04.
Youth Enrichment Group Home, Inc.'s current location address is 203 Hammond Dr, Greensboro, North Carolina. You can contact this provider via phone number 3363891913 and fax number 8778468962. The mailing address for Youth Enrichment Group Home, Inc. is 203 Hammond Dr, Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Youth Enrichment Group Home, Inc. |
|---|---|
| Address | 203 Hammond Dr, Greensboro, North Carolina |
| Phone Number | 3363891913 |
| Fax Number | 8778468962 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSISTANT |
|---|---|
| Authorized Official Name | Sweet Pratt Devolia |
| Telephone Number | 3363826658 |
NPI Number Detail
| NPI Number | 1528119096 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2019-06-04 |
Provider Mailing Address Detail
| Address | 203 Hammond Dr |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 274068149 |
| Phone Number | 3363891913 |
| Fax Number | 8778468962 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | MHL-041-658 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6603440 | NC | -- |
Post Comment/ Review Below
What is the Youth Enrichment Group Home, Inc.'s unique identification number?
The Youth Enrichment Group Home, Inc. has been assigned the NPI (National Provider Identifier) Number 1528119096 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Youth Enrichment Group Home, Inc.?
The Youth Enrichment Group Home, Inc. is situated at 203 Hammond Dr, in the city of Greensboro, state of NC, with the zip code 274068149.
What is Youth Enrichment Group Home, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Youth Enrichment Group Home, Inc. is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that classifies this field of practice is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1528119096 to Youth Enrichment Group Home, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1528119096 to Youth Enrichment Group Home, Inc. on 2007-01-12.
As of what date was the information pertaining to Youth Enrichment Group Home, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Youth Enrichment Group Home, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-06-04.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY