YOUTH ADULT CARE MANAGEMENT (NPI# 1649304437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649304437 |
| Entity Type | Organization |
| Organization Name | YOUTH ADULT CARE MANAGEMENT |
| Practice Address |
1906 Woodlawn St Kannapolis NC 28083-3058 |
| 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 | MR. 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-080-093 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603114 | 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 |
| 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 |
| 1427182211 | Youth Adult Care Management | Residential Treatment Facility, Emotionally Disturbed Children | 1395 Mistletoe Ridge Pl Nw, Concord, NC 28027-7877 | 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 |
1906 WOODLAWN ST |
| City | KANNAPOLIS |
| State | NC |
| Zip Code | 28083-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538449988 | Rha Health Services Nc, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1906 Woodlawn St, Kannapolis, NC 28083-3058 | 2011-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056244 | 5 Stone Therapy, LLC | Occupational Therapy Assistant | 2036 Quill Court, Kannapolis, NC 28083 | 2020-09-08 |
| 1679106900 | Total Renal Care of North Carolina, LLC | Clinic/Center | 614 S Cannon Blvd, Kannapolis, NC 28083 | 2020-02-14 |
| 1700428448 | Monarch | Community/Behavioral Health | 1276 Midlake Road, Kannapolis, NC 28083 | 2019-10-15 |
| 1275812612 | Rha Health Services Nc, LLC | Community/Behavioral Health | 1005 Oklahoma St, Kannapolis, NC 28083 | 2011-08-16 |
| 1265728687 | Delilah Jerelyn Jackson | Pharmacist | 559 Jackson Park Road, Kannapolis, NC 28083 | 2011-06-23 |
| 1770807562 | John Walsh Dds Pa | Dentist | 2222 Lake Concord Rd, Kannapolis, NC 28083 | 2010-03-23 |
| 1942534482 | Christina M Metts-wakeland | Massage Therapist | 2601 Cannon Blvd, Kannapolis, NC 28083 | 2009-10-01 |
| 1912164310 | Christian Women of Elegance Dba | Community/Behavioral Health | 397 Cannon South Boulevard, Kannapolis, NC 28083 | 2008-05-22 |
| 1265646582 | Rachal Alice David | Family Medicine | 241 Southaven Court, Kannapolis, NC 28083 | 2007-05-09 |
| 1154473601 | Bobby Edward Gibbs | Dentist | 281 S. Cannon Blvd, Kannapolis, NC 28083 | 2007-01-17 |
| Find all providers in zip 28083 | ||||
| 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 |
|---|---|---|---|---|
| 1013132620 | Genesis Family Home | Residential Treatment Facility, Emotionally Disturbed Children | 1224 Milton Ave, Kannapolis, NC 28081-5444 | 2007-04-17 |
| 1215061007 | Youth Adult Care Management | Residential Treatment Facility, Emotionally Disturbed Children | 730 Jack St, Kannapolis, NC 28081-9573 | 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 |
| 1083763106 | Progressions 4 | Residential Treatment Facility, Emotionally Disturbed Children | 126 Ashmont Dr, Kannapolis, NC 28081-7134 | 2007-01-09 |
| 1942421862 | Youth Adult Care Management | Residential Treatment Facility, Emotionally Disturbed Children | 1605 Old Earnhardt Rd, Kannapolis, NC 28083-8025 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617255 | Creative Helping Hands LLC | Residential Treatment Facility, Emotionally Disturbed Children | 478 Green Lake Rd, Rockingham, NC 28379-7850 | 2020-10-19 |
| 1083237986 | Revive Housing LLC | Residential Treatment Facility, Emotionally Disturbed Children | 210 Sunset Dr Apt 615, Salisbury, NC 28147-7147 | 2020-05-26 |
| 1457998627 | Re Health Group | Residential Treatment Facility, Emotionally Disturbed Children | 1102 Groves St, Kings Mountain, NC 28086-2232 | 2019-12-05 |
| 1821631532 | Marquita Latrice Walls | Residential Treatment Facility, Emotionally Disturbed Children | 1565 Longbranch Rd, Grover, NC 28073-9599 | 2019-10-25 |
| 1699233866 | A Brighter Path LLC | Residential Treatment Facility, Emotionally Disturbed Children | 120 Jetter Rd, Grover, NC 28073-9687 | 2019-03-06 |
| 1821562224 | Carter Clinic, Pa | Residential Treatment Facility, Emotionally Disturbed Children | 703 W 3rd Ave Bldg A, Red Springs, NC 28377-1524 | 2019-01-18 |
| 1659842607 | Gervonia Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1714 Aster Ln, Gastonia, NC 28054-8303 | 2018-12-16 |
| 1679058440 | Miracle Houses Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7827 Kerrybrook Cir, Charlotte, NC 28214-2513 | 2018-09-27 |
| 1174048078 | A Safe Place Community Housing, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2049 Highland St, Charlotte, NC 28208-4909 | 2017-08-11 |
| 1104346881 | Inspiration for Us | Residential Treatment Facility, Emotionally Disturbed Children | 1205 W Mountain St, Kernersville, NC 27284-2173 | 2017-06-22 |
| Find all providers with the same taxonomy | ||||
| City | KANNAPOLIS |
| Zip Code | 28083 |
Please comment or provide details below to improve the information on YOUTH ADULT CARE MANAGEMENT.
| 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.