YOUTH HOMES INC NPI 1508042490

NPI Information

NPI: 1508042490
Provider Name: YOUTH HOMES, INC

Other Name: SECOND WIND GROUP HOME

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
601 E 5TH ST
SUITE 330
CHARLOTTE, NC
ZIP 28202
Phone: (704) 334-9955
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YOUTH HOMES, INC is a community based residential treatment facility mental illness in Charlotte, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. YOUTH HOMES, INC NPI is 1508042490. The provider is registered as an organization entity type.
The provider Other Name Is Second Wind Group Home.

The provider's business location address is:

601 E 5TH ST
SUITE 330
CHARLOTTE, NC
ZIP 28202-031
Phone: (704) 334-9955
Fax: (704) 375-7497

The provider's authorized official is Frank H Crawford .
The authorized official title is Executive Director and has the following contact phone number (704) 334-9955.

The enumeration date for this NPI number is 1/10/2008 and was last updated on 1/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		MHL-060-061	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6603959	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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