YOUTH ADULT CARE MANAGEMENT (NPI# 1427182211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427182211 |
| Entity Type | Organization |
| Organization Name | YOUTH ADULT CARE MANAGEMENT |
| Practice Address |
1395 Mistletoe Ridge Pl Nw Concord NC 28027-7877 |
| Mailing Address |
Po Box 1013 Concord NC 28026-1013 |
| Practice Telephone | 7049333505 |
| Mailing Telephone | 7049333505 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-08-01 |
| Authorized Official Name | CHON BLACK (DIRECTOR) |
| Authorized Official Telephone | 7049333505 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-013-068 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603115 | 05 | |
| NC | BCBS | 015WC | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215061007 | Youth Adult Care Management | Residential Treatment Facility, Emotionally Disturbed Children | 730 Jack St, Kannapolis, NC 28081-9573 | 2007-03-15 |
| 1649304437 | Youth Adult Care Management | Residential Treatment Facility, Emotionally Disturbed Children | 1906 Woodlawn St, Kannapolis, NC 28083-3058 | 2007-03-15 |
| 1639203326 | Youth Adult Care Management | Residential Treatment Facility, Emotionally Disturbed Children | 491 Liberty Drive, Concord, NC 28025-6318 | 2007-03-15 |
| 1497889281 | Youth Adult Care Management | Residential Treatment Facility, Emotionally Disturbed Children | 1680 Barbara Ann Cir, Kannapolis, NC 28083-6574 | 2007-03-15 |
| 1942421862 | Youth Adult Care Management | Residential Treatment Facility, Emotionally Disturbed Children | 1605 Old Earnhardt Rd, Kannapolis, NC 28083-8025 | 2007-05-01 |
| 1265556419 | Youth Adult Care Management | Community/Behavioral Health | 1605 Old Earnhardt Rd, Kannapolis, NC 28083-8025 | 2007-03-16 |
| 1114051349 | Youth Adult Care Management | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1605 Old Earnhardt Rd, Kannapolis, NC 28083-8025 | 2007-03-16 |
| Street Address |
1395 MISTLETOE RIDGE PL NW |
| City | CONCORD |
| State | NC |
| Zip Code | 28027-7877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306125745 | Rha Health Services Nc, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1395 Mistletoe Ridge Pl Nw, Concord, NC 28027-7877 | 2011-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652252 | Medcare Transport of Nc | Non-emergency Medical Transport (VAN) | 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 | 2019-10-31 |
| 1538718770 | Carolyn Ann Broadnax | Technician | 3524 Cedar Springs Dr, Concord, NC 28027 | 2019-09-10 |
| 1447806575 | Claire-ann E Papp | Dentist | 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 | 2019-08-14 |
| 1578120218 | Philip Osborn | Dentist | 5408 Nc-49, Harrisburg, NC 28027 | 2019-05-28 |
| 1639648306 | Kristen Morris Spell | Counselor | 195 Lower Cape Dr Sw Apt 107, Concord, NC 28027 | 2018-11-25 |
| 1568959625 | Laurie Ford | Counselor | 705 Samuel Adams Cir Sw, Concord, NC 28027 | 2018-04-15 |
| 1598278194 | Autumn Nobles | Specialist/Technologist | 10193 Falling Leaf Dr Nw, Concord, NC 28027 | 2017-11-06 |
| 1386192938 | Brundasudha Satti IIi | Physical Therapist | 379 Sutoforest Dr Nw, Concord, NC 28027 | 2016-09-12 |
| 1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
| 1720443849 | Denette Carte | Health Educator | 9712 Ravenscroft Lane Nw, Concord, NC 28027 | 2015-12-16 |
| Find all providers in zip 28027 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699951541 | Rolfe and Rumford Home | Residential Treatment Facility, Emotionally Disturbed Children | 23 Rundlett St, Concord, NH 03301-2223 | 2008-01-10 |
| 1215159694 | Tobey School | Residential Treatment Facility, Emotionally Disturbed Children | 45 S Fruit St, Concord, NH 03301-2410 | 2007-05-03 |
| 1407076334 | Horizon Care, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 426 Church St N, Suite 210, Concord, NC 28025-4548 | 2007-04-25 |
| 1104044353 | Genesis Family Home | Residential Treatment Facility, Emotionally Disturbed Children | 484 Cook St Nw, Concord, NC 28025-4441 | 2007-04-23 |
| 1649495243 | Genesis Family Home | Residential Treatment Facility, Emotionally Disturbed Children | 514 Todd Dr Ne, Concord, NC 28025-3135 | 2007-04-17 |
| 1639203326 | Youth Adult Care Management | Residential Treatment Facility, Emotionally Disturbed Children | 491 Liberty Drive, Concord, NC 28025-6318 | 2007-03-15 |
| 1558410415 | Progressions 1- Treasure Place | Residential Treatment Facility, Emotionally Disturbed Children | 906 Treasure Pl, Concord, NC 28025-7206 | 2007-01-09 |
| 1700935996 | Progressions Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 196 Church St Ne, Concord, NC 28025-4759 | 2007-01-09 |
| 1265581110 | Progressions 3 - Loch Lomond | Residential Treatment Facility, Emotionally Disturbed Children | 844 Loch Lomond Cir, Concord, NC 28025-0416 | 2007-01-09 |
| 1396894499 | Progressions 2 - Carolina Pointe | Residential Treatment Facility, Emotionally Disturbed Children | 4127 Carolina Pointe Ct, Concord, NC 28027-0410 | 2007-01-09 |
| Find all providers in CONCORD | ||||
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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.