YOUTH HOME, INC (NPI# 1083820146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083820146 |
| Entity Type | Organization |
| Organization Name | YOUTH HOME, INC |
| Practice Address |
20400 Colonel Glenn Rd Little Rock AR 72210-5323 |
| Mailing Address |
3101 Reynard Rd Little Rock AR 72210-5627 |
| Practice Telephone | 5018215500 |
| Mailing Telephone | 5018213902 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-11-11 |
| Authorized Official Name | MRS. PATRICIA LOUISE ROBERTS (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5018215500 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 547-C | AR | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144434978 | Youth Home, Inc | Case Management | # 2 Innwood Dr., Suite A, Little Rock, AR 72211-2490 | 2007-05-10 |
| 1396999801 | Youth Home, Inc | Psychiatric Residential Treatment Facility | 20400 Colonel Glenn Rd, Little Rock, AR 72210 | 2008-11-11 |
| Street Address |
20400 COLONEL GLENN RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72210-5323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942266879 | Youth Home Inc | Community/Behavioral Health | 20400 Colonel Glenn Rd, Little Rock, AR 72210 | 2006-04-20 |
| 1992306385 | Ashley Pankey | Counselor | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2020-11-03 |
| 1881295434 | Kyler Smith | Counselor | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2020-11-02 |
| 1366040032 | Caleb Mccrary | Counselor | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2020-10-14 |
| 1316545080 | Sejames Humphrey | Counselor | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2020-10-14 |
| 1316545395 | Andreia Crawford | Counselor | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2020-10-13 |
| 1710594569 | Hannah Leigh Eldred | Counselor | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2020-09-25 |
| 1922615723 | Stephen Beck | Counselor | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2020-09-25 |
| 1356958367 | Tamia Bennett | Counselor | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2020-09-24 |
| 1639786643 | Reagan Bell | Counselor | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2020-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290888 | John Hunter Bramlitt | Counselor | 12320 I-30, Little Rock, AR 72210 | 2019-11-20 |
| 1972159267 | Arkansas Baptist Children's Homes and Family Ministries | Counselor | 12400 I-30, Little Rock, AR 72210 | 2019-08-13 |
| 1952956864 | Hanrietta Evans | Behavior Technician | Youth Home Inc, 20302 Colonel Glenn Rd, Little Rock, AR 72210 | 2019-08-07 |
| 1821597287 | Deanna Smith | Counselor | 12320 I-30 Frontage Road, Little Rock, AR 72210 | 2018-02-12 |
| 1922485481 | Whitney Brown | Social Worker | 20400 Colonel Glenn, Little Rock, AR 72210 | 2015-05-04 |
| 1679978191 | Jennifer Black | Counselor | 20302 Col Glenn Road, Little Rock, AR 72210 | 2014-10-27 |
| 1831593896 | James William Takach | Family Medicine | 14519 Wimbledon Loop, Little Rock, AR 72210 | 2014-10-20 |
| 1811319734 | Ben Malone | Case Manager/Care Coordinator | 20400 Col Glenn Road, Little Rock, AR 72210 | 2014-01-12 |
| 1487924296 | Tara Brown | Case Manager/Care Coordinator | 20302 Colonel Glenn Rd., Little Rock, AR 72210 | 2012-01-10 |
| 1972889061 | D. Rachelle Rial | Case Manager/Care Coordinator | 20400 Col Glenn Rd., Little Rock, AR 72210 | 2011-11-02 |
| Find all providers in zip 72210 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114915840 | Psychiatric Services, Inc | Psychiatric Residential Treatment Facility | 5208 Kavanaugh Blvd, Suite 4, Little Rock, AR 72207-4609 | 2005-10-06 |
| 1396999801 | Youth Home, Inc | Psychiatric Residential Treatment Facility | 20400 Colonel Glenn Rd, Little Rock, AR 72210 | 2008-11-11 |
| 1134117906 | Psychiatric Services, Inc. | Psychiatric Residential Treatment Facility | 5208 Kavanaugh Blvd, Suite 4, Little Rock, AR 72207-4609 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1225211741 | Woodridge of Forrest City, LLC | Psychiatric Residential Treatment Facility | 603 Kittel Rd, Forrest City, AR 72335-7728 | 2007-12-06 |
| 1447380423 | Piney Ridge Treatment Center, LLC | Psychiatric Residential Treatment Facility | 4253 Crossover Rd, Fayetteville, AR 72703 | 2007-03-07 |
| 1689020844 | Woodridge Northwest, LLC | Psychiatric Residential Treatment Facility | 2466 S 48th St, Springdale, AR 72762-6683 | 2016-05-06 |
| 1154707461 | Valley Behavioral Health System, LLC | Psychiatric Residential Treatment Facility | 10301 Mayo Dr, Barling, AR 72923-1660 | 2015-08-10 |
| 1013278233 | Ladonna Kay Delee | Psychiatric Residential Treatment Facility | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2012-06-05 |
| 1134305436 | Woodridge Northeast, LLC | Psychiatric Residential Treatment Facility | 600 N 7th St, West Memphis, AR 72301 | 2008-01-16 |
| 1104033976 | Ameris of Arkansas, LLC | Psychiatric Residential Treatment Facility | 611 W Lee Ave, Osceola, AR 72370-3001 | 2007-05-17 |
| 1124144563 | Texarkana Behavioral Associates, L.c. | Psychiatric Residential Treatment Facility | 4253 N. Crossover Rd., Fayetteville, AR 72703-4593 | 2007-03-21 |
| 1316071228 | Texarkana Behavioral Asociates Lc | Psychiatric Residential Treatment Facility | 10301 Mayo Dr, Barling, AR 72923-1660 | 2007-03-15 |
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| City | LITTLE ROCK |
| Zip Code | 72210 |
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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.