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REYNOLDS YOUTH SERVICES NPI 1669505483


NPI Information

NPI: 1669505483
Provider Name: REYNOLDS YOUTH SERVICES
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
2020 US HIGHWAY 221 S
FOREST CITY, NC
ZIP 28043
Phone: (828) 247-4856
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REYNOLDS YOUTH SERVICES is a residential treatment facility emotionally disturbed children in Forest City, NC. The provider is 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. REYNOLDS YOUTH SERVICES NPI is 1669505483. The provider is registered as an organization entity type.

The provider's business location address is:

2020 US HIGHWAY 221 S
FOREST CITY, NC
ZIP 28043-056
Phone: (828) 247-4856
Fax: (828) 247-4857

The provider's authorized official is Phillip E Reynolds .
The authorized official title is Owner Director and has the following contact phone number (828) 247-4856.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL 081-066NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16603988MEDICAIDNORTH 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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