YOUTH DEVELOPMENT CORPORATION OF AMERICA (NPI# 1386785228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386785228 |
| Entity Type | Organization |
| Organization Name | YOUTH DEVELOPMENT CORPORATION OF AMERICA |
| Other Organization Name | CARING FAMILY NETWORK |
| Practice Address |
355 S Madison Blvd Ste C Roxboro NC 27573-5485 |
| Mailing Address |
6015 Fayetteville Rd Suite 211 Durham NC 27713-6254 |
| Practice Telephone | 3365998366 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2010-08-10 |
| Authorized Official Name | BRELYN WADDELL (BILLING SPECIALIST SUPERVISOR) |
| Authorized Official Telephone | 9193238090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5903807 | 05 | |
| NC | 6005837 | 05 | |
| NC | 8301081 | 05 |
| Other Name | Type Code |
|---|---|
| Caring Family Network | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962610576 | Youth Development Corporation of America | Community/Behavioral Health | 335 Margie Dr, Warner Robins, GA 31088-7896 | 2007-05-18 |
| 1659589265 | Youth Development Corporation of America | Community/Behavioral Health | 105 Fieldstone Dr, Suite 4, Milledgeville, GA 31061-7107 | 2007-05-18 |
| 1700094414 | Youth Development Corporation of America | Community/Behavioral Health | 2801 Old Dawson Rd, Suite 200, Albany, GA 31707-1544 | 2007-05-18 |
| 1801938626 | Youth Development Corporation of America | Community/Behavioral Health | 9556 Tara Blvd, Jonesboro, GA 30236-6037 | 2007-02-12 |
| 1457492266 | Youth Development Corporation of America | Community/Behavioral Health | 414 Caldwell Ext, Chapel Hill, NC 27516-2051 | 2007-02-12 |
| 1235270026 | Youth Development Corporation of America | Community/Behavioral Health | 1105 E Cardinal St, Siler City, NC 27344-3300 | 2007-02-12 |
| 1689715880 | Youth Development Corporation of America | Community/Behavioral Health | 4424 Columbia Rd, Ste B, Martinez, GA 30907-4565 | 2007-02-09 |
| 1629023569 | Youth Development Corporation of America | Community/Behavioral Health | 803 S Garnett St, Henderson, NC 27536-4512 | 2006-05-22 |
| 1952518110 | Youth Development Corporation of America | Community/Behavioral Health | 4000 Blue Ridge Rd, Suite 200, Raleigh, NC 27612-4650 | 2007-05-17 |
| 1700928090 | Youth Development Corporation of America | Community/Behavioral Health | 412 Caldwell Ext Ste A, Chapel Hill, NC 27516-2065 | 2007-02-13 |
| Street Address |
355 S MADISON BLVD STE C |
| City | ROXBORO |
| State | NC |
| Zip Code | 27573-5485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528018025 | Ellen K. Mcrae | Social Worker | 355 S Madison Blvd Ste C, Roxboro, NC 27573-5485 | 2006-05-12 |
| 1134551260 | Marcia Wilcox Brandon | Counselor | 355 S Madison Blvd Ste C, Roxboro, NC 27573-5485 | 2013-07-31 |
| 1740547660 | Danny Christopher Hill | Counselor | 355 S Madison Blvd Ste C, Roxboro, NC 27573-5485 | 2012-04-17 |
| 1841563020 | Gloria Williams | Nurse's Aide | 355 S Madison Blvd Ste C, Roxboro, NC 27573-5485 | 2012-02-17 |
| 1770856098 | Freedomhouse Recovery | Community/Behavioral Health | 355 S Madison Blvd Ste C, Roxboro, NC 27573-5485 | 2012-02-16 |
| 1134492648 | Carolyn Royster | Social Worker | 355 S Madison Blvd Ste C, Roxboro, NC 27573-5485 | 2012-02-14 |
| 1366620858 | Triumph LLC | Community/Behavioral Health | 355 S Madison Blvd Ste C, Roxboro, NC 27573-5485 | 2008-02-06 |
| 1679771711 | Sandra Kirkpatrick Thompson | Registered Nurse | 355 S Madison Blvd Ste C, Roxboro, NC 27573-5485 | 2007-07-10 |
| 1245363746 | Sariah Marie Hopkins | Counselor | 355 S Madison Blvd Ste C, Roxboro, NC 27573-5485 | 2007-03-13 |
| 1316048960 | Russell Knop | Counselor | 355 S Madison Blvd Ste C, Roxboro, NC 27573-5485 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786783 | Caitlin Elissa Seidler | Physician Assistant | 910 N Madison Blvd Ste B, Roxboro, NC 27573 | 2018-10-21 |
| 1467821801 | Iris W Jackola | Nurse Practitioner | 796 Doctor's Court, Roxboro, NC 27573 | 2015-09-16 |
| 1568897213 | Person County Group Homes, Inc. | Community/Behavioral Health | 607 Henry Street, Roxboro, NC 27573 | 2013-09-12 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1932445749 | Ronnie Lee Chandler | Pharmacist | 109 North Main St., Roxboro, NC 27573 | 2012-12-26 |
| 1154559581 | Roxboro Medaccess Primary Care | Clinic/Center | 3762 Durham Road, Roxboro, NC 27573 | 2009-06-24 |
| 1699922302 | Bruce Wayne Walsh | Counselor | 355 C1 S. Madison Blvd, Roxboro, NC 27573 | 2008-08-25 |
| 1033232020 | Person County Department of Social Services | Durable Medical Equipment & Medical Supplies | 355-b South Madison Blvd, Roxboro, NC 27573 | 2007-04-06 |
| 1417095886 | Thomas Jones Day Jr. | Dentist | 407 North Main St, Roxboro, NC 27573 | 2007-02-01 |
| 1578622288 | Corey Wayne Wilson | Dentist | 112 West Barden Street, Roxboro, NC 27573 | 2006-12-08 |
| Find all providers in zip 27573 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659897841 | New Millennium Management Services Inc | Community/Behavioral Health | 203 N Main St Ste 416, Roxboro, NC 27573-5343 | 2017-08-18 |
| 1548702301 | Urban Clinical Care, PC | Community/Behavioral Health | 210 N. Main Street, Roxboro, NC 27573-5325 | 2016-11-10 |
| 1841652765 | Tja Family Services LLC | Community/Behavioral Health | 234 N Madison Blvd, Roxboro, NC 27573-5302 | 2016-03-22 |
| 1578999389 | Person County Group Homes Inc | Community/Behavioral Health | 603 Henry St, Roxboro, NC 27573-4762 | 2013-09-25 |
| 1013343821 | Person County Group Homes Inc | Community/Behavioral Health | 623 Henry St, Roxboro, NC 27573-4762 | 2013-09-25 |
| 1649606450 | Person County Group Homes Inc | Community/Behavioral Health | 304 Bumpass Ln, Roxboro, NC 27573-4713 | 2013-09-25 |
| 1386070191 | Person County Group Homes Inc | Community/Behavioral Health | 110 Barnette Ave, Roxboro, NC 27573-5052 | 2013-09-25 |
| 1437584026 | Person County Group Homes Inc | Community/Behavioral Health | 324 W Morehead St, Roxboro, NC 27573-4935 | 2013-09-13 |
| 1982039574 | Person County Group Homes Inc | Community/Behavioral Health | 326 W Morehead St, Roxboro, NC 27573-4935 | 2013-09-13 |
| 1720413305 | Person County Group Homes Inc | Community/Behavioral Health | 310 Bumpass Ln Unit 6, Roxboro, NC 27573-4576 | 2013-09-13 |
| Find all providers in ROXBORO | ||||
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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.