SUCCESSFUL YOUTH UNLIMITED, INC (NPI# 1013051176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013051176 |
| Entity Type | Organization |
| Organization Name | SUCCESSFUL YOUTH UNLIMITED, INC |
| Practice Address |
134 Manor Dr High Point NC 27260-2620 |
| Mailing Address |
1001 Pineland St D Greensboro NC 27407-2278 |
| Practice Telephone | 3368837119 |
| Practice Fax Number | 3368837129 |
| Mailing Telephone | 3368540621 |
| Mailing Fax Number | 3368837129 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. RENEE GRANT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9104891303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 041-787 | NC | Residential Treatment Facilities |
| Street Address |
134 MANOR DR |
| City | HIGH POINT |
| State | NC |
| Zip Code | 27260-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699291559 | Family Primary Care Pllc | Family Medicine | 200 Greensboro Rd, High Point, NC 27260 | 2017-08-22 |
| 1104102854 | Latoya Natasha Seward | Registered Nurse | 501 East Green Drive, High Point, NC 27260 | 2011-10-26 |
| 1053610170 | Anjanette Miles Thompson | Registered Nurse | 501 E Green Street, High Point, NC 27260 | 2011-03-16 |
| 1043477862 | Adrienne Ellison | Speech-Language Pathologist | 1315 Old Greensboro Rd, High Point, NC 27260 | 2008-05-20 |
| 1831398940 | Kelly Dailey Hall | Speech-Language Pathologist | 109 Penny Road, Greensboro, NC 27260 | 2007-07-18 |
| 1710100078 | Power & Praise Tabernacle | Custodial Care Facility | 807 Vail Ave, High Point, NC 27260 | 2007-04-11 |
| 1356484075 | Judd Andrew Caudell | Physician Assistant | 501 East Greene Street, Guilford County Health Department, High Point, NC 27260 | 2007-02-14 |
| 1598775751 | Piedmont Triad Ambulance & Rescue Inc | Ambulance | 901 S Elm St, High Point, NC 27260 | 2006-08-09 |
| 1467911982 | Elizabeth Quiroz | Registered Nurse | 501 E Greene Dr, High Point, NC 27260 | 2019-03-14 |
| 1518497403 | Dominique Leeann Hickman | Social Worker | 501 E Green Dr, High Point, NC 27260 | 2017-06-14 |
| Find all providers in zip 27260 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386997369 | Optimus Health Pllc | Community Based Residential Treatment Facility, Mental Illness | 6001 Evans Mill Rd, High Point, NC 27265-3175 | 2012-10-16 |
| 1154569432 | Majestic Solutions, LLC | Community Based Residential Treatment Facility, Mental Illness | 1115 N Centennial St, High Point, NC 27262-3307 | 2009-01-26 |
| 1467675496 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 408 N Ward Ave, High Point, NC 27262-8021 | 2007-04-10 |
| 1760605794 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2325 Brentwood St, High Point, NC 27263-1933 | 2007-04-10 |
| 1336205392 | Community Connections Residential Services Inc | Community Based Residential Treatment Facility, Mental Illness | 2310 N Centennial St, Suite 102, High Point, NC 27265-3136 | 2006-12-27 |
| 1841368966 | Genesis Professionals | Community Based Residential Treatment Facility, Mental Illness | 1018 Grace St, High Point, NC 27260-8131 | 2006-11-30 |
| 1063430809 | Forward Care Management, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1209 Shalimar Dr, High Point, NC 27262-4598 | 2006-07-18 |
| 1407901689 | Youth Unlimited Inc | Community Based Residential Treatment Facility, Mental Illness | 338 Burton Ave, High Point, NC 27262-8070 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041667 | Jalisa Jackson | Community Based Residential Treatment Facility, Mental Illness | 11413 Mangla Dr, Charlotte, NC 28214-8885 | 2020-10-19 |
| 1245837061 | Bliss Haven Group LLC | Community Based Residential Treatment Facility, Mental Illness | 2442 Sandhurst Ct, Gastonia, NC 28054-2738 | 2020-10-05 |
| 1386259265 | Nevaehs Caring Hands | Community Based Residential Treatment Facility, Mental Illness | 2509 Dalton Rd, Rocky Mount, NC 27803-4721 | 2020-09-09 |
| 1588279442 | C & C Homecare, LLC | Community Based Residential Treatment Facility, Mental Illness | 5119 Holdens Cross Rd, Wilson, NC 27893-8253 | 2020-09-08 |
| 1801409859 | Destiny & Miracle LLC | Community Based Residential Treatment Facility, Mental Illness | 1024 Houston St, Gastonia, NC 28052-1632 | 2020-08-28 |
| 1699329433 | Fresh Start Today Inc | Community Based Residential Treatment Facility, Mental Illness | 3707 Roseheim Ct, Greensboro, NC 27405-4867 | 2019-07-30 |
| 1003460833 | Care-in-full | Community Based Residential Treatment Facility, Mental Illness | 1338 Sharp Ridge Rd, Greensboro, NC 27406-8597 | 2019-07-30 |
| 1366001976 | Foundation of Hope, Inc. | Community Based Residential Treatment Facility, Mental Illness | 119 Grice Road, Chadbourn, NC 28431-6709 | 2019-06-07 |
| 1558927590 | Tall Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1915 Hasty Rd, Marshville, NC 28103-0029 | 2019-05-15 |
| 1174187868 | Stepping Stone Services Inc. | Community Based Residential Treatment Facility, Mental Illness | 2720 White Oak Ln, Kannapolis, NC 28083-7256 | 2019-04-28 |
| Find all providers with the same taxonomy | ||||
| City | HIGH POINT |
| Zip Code | 27260 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.