YOUTH UNLIMITED INC (NPI# 1629416003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629416003 |
| Entity Type | Organization |
| Organization Name | YOUTH UNLIMITED INC |
| Practice Address |
2872 Youth Unlimited Dr Sophia NC 27350-8460 |
| Mailing Address |
Po Box 485 High Point NC 27261-0485 |
| Practice Telephone | 3368611413 |
| Practice Fax Number | 3368619253 |
| Mailing Telephone | 3368831361 |
| Mailing Fax Number | 3368830065 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | MR. R CLIFFORD PARKER JR. (EX DIRECTOR) |
| Authorized Official Telephone | 3368831361 |
| Authorized Official Credential | M.A. LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603220 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487092607 | Youth Unlimited Inc | Community Based Residential Treatment Facility, Mental Illness | 2748 Youth Unlimited Dr, Sophia, NC 27350-8461 | 2013-06-10 |
| 1588002703 | Youth Unlimited Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2780 Youth Unlimited Dr, Sophia, NC 27350-8461 | 2013-06-10 |
| 1447698659 | Youth Unlimited Inc | Community/Behavioral Health | 2869 Youth Unlimited Dr, Sophia, NC 27350-8460 | 2013-06-10 |
| 1073951281 | Youth Unlimited Inc | Counselor | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2013-06-10 |
| 1407901689 | Youth Unlimited Inc | Community Based Residential Treatment Facility, Mental Illness | 338 Burton Ave, High Point, NC 27262-8070 | 2007-01-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | YOUTH UNLIMITED INC. | 121 E Historic Columbia River Hwy, Troutdale, OR 97060 |
| Street Address |
2872 YOUTH UNLIMITED DR |
| City | SOPHIA |
| State | NC |
| Zip Code | 27350-8460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457372088 | Melanie Coble Paschal | Social Worker | 2872 Youth Unlimited Dr, Sophia, NC 27350-8460 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801084108 | Debra Lanier Tatum | Counselor | 6658 Flint Hill Rd, Sophia, NC 27350-8120 | 2007-10-11 |
| 1144827585 | Catherine B Sullivan | Registered Nurse | 4111 Beeson Farm Rd, Sophia, NC 27350-8451 | 2020-10-08 |
| 1447698659 | Youth Unlimited Inc | Community/Behavioral Health | 2869 Youth Unlimited Dr, Sophia, NC 27350-8460 | 2013-06-10 |
| 1487092607 | Youth Unlimited Inc | Community Based Residential Treatment Facility, Mental Illness | 2748 Youth Unlimited Dr, Sophia, NC 27350-8461 | 2013-06-10 |
| 1588002703 | Youth Unlimited Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2780 Youth Unlimited Dr, Sophia, NC 27350-8461 | 2013-06-10 |
| 1336473479 | Jane Elizabeth Hoonhout | Nurse Practitioner | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2009-09-22 |
| 1336543776 | Keisha Mccleese Moore | Counselor | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2014-10-14 |
| 1073951281 | Youth Unlimited Inc | Counselor | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2013-06-10 |
| 1124383054 | Robert Andrew Lindsay Jr. | Social Worker | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2012-07-06 |
| 1083924203 | Judith Jan Fradenburg | Social Worker | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2010-10-21 |
| Find all providers in zip 27350 | ||||
| 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 |
|---|---|---|---|---|
| 1487092607 | Youth Unlimited Inc | Community Based Residential Treatment Facility, Mental Illness | 2748 Youth Unlimited Dr, Sophia, NC 27350-8461 | 2013-06-10 |
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|---|---|---|---|---|
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| Find all providers with the same taxonomy | ||||
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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.