YOUTH HAVEN SERVICES (NPI# 1740694447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740694447 |
| Entity Type | Organization |
| Organization Name | YOUTH HAVEN SERVICES |
| Practice Address |
817 Meadowbrook Dr King NC 27021-8248 |
| Mailing Address |
229 Turner Dr Reidsville NC 27320-5736 |
| Practice Telephone | 3369853224 |
| Practice Fax Number | 3369853568 |
| Mailing Telephone | 3363492233 |
| Mailing Fax Number | 3366340444 |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | DAWN JOHNSON (CEO/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3366349039 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194137232 | Youth Haven Services | Residential Treatment Facility, Emotionally Disturbed Children | 1112 Barnes St, Reidsville, NC 27320-4975 | 2014-05-23 |
| Street Address |
817 MEADOWBROOK DR |
| City | KING |
| State | NC |
| Zip Code | 27021-8248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275847576 | Triumph LLC | Clinic/Center | 817 Meadowbrook Dr, King, NC 27021-8248 | 2010-07-29 |
| 1285075564 | Jason Flake | Social Worker | 817 Meadowbrook Dr, King, NC 27021-8248 | 2013-07-15 |
| 1891138020 | Rha Health Services Inc | Community/Behavioral Health | 817 Meadowbrook Dr, King, NC 27021-8248 | 2013-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672252 | Meagan L Hankins | Occupational Therapy Assistant | 440 Ingram Road, King, NC 27021 | 2020-06-08 |
| 1447898754 | Magnolia Eye Care, O.d. Pllc | Optometrist | 141 Spruce Pine Way, Suite C, King, NC 27021 | 2019-12-17 |
| 1700268000 | Andrew Kiger | Physical Therapist | 710 Kirby Rd, King, NC 27021 | 2015-06-23 |
| 1053745471 | Priddy Manor Assisted Living | Custodial Care Facility | 1294 Priddy Road, King, NC 27021 | 2013-08-22 |
| 1790068369 | Mohamed Hamdy Darwish | Pharmacist | 600 S Main St., King, NC 27021 | 2011-09-21 |
| 1093000192 | Megan Kistler | Pharmacist | 600 S. Main Street, King, NC 27021 | 2011-06-16 |
| 1316237563 | A.t. Bassiri, D.d.s., P.a. | Dentist | 226 Kirby Road, King, NC 27021 | 2011-04-08 |
| 1033417258 | Teresa Bryant Jennings | Pharmacist | 650 S. Main Street, King, NC 27021 | 2011-03-11 |
| 1669681854 | King Medical Associates | Family Medicine | 202 Scenic Drive, King, NC 27021 | 2007-05-22 |
| 1447319595 | North Carolina Cvs Pharmacy LLC | Pharmacy | 600 South Main St, King, NC 27021 | 2006-12-06 |
| Find all providers in zip 27021 | ||||
| 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 |
|---|---|---|---|---|
| 1508261769 | Youth Haven Services, Inc. | Community/Behavioral Health | 152 E School St, King, NC 27021-7954 | 2014-10-30 |
| 1114161056 | Cnc/access, Inc. | Community/Behavioral Health | 615 E King St, King, NC 27021-9165 | 2009-04-22 |
| 1528159563 | Springwell Network, Inc. | Community/Behavioral Health | 100 Mcgee Ct, King, NC 27021-9531 | 2006-09-27 |
| 1821420241 | Pqa Healthcare, Inc | Community/Behavioral Health | 202 Scenic Dr, King, NC 27021-9418 | 2013-08-08 |
| 1285066340 | Pqa Healthcare, Inc | Community/Behavioral Health | 741 Spainhour Rd, King, NC 27021-9393 | 2013-07-31 |
| 1891138020 | Rha Health Services Inc | Community/Behavioral Health | 817 Meadowbrook Dr, King, NC 27021-8248 | 2013-04-08 |
| 1639412844 | Rha Health Services Inc | Community/Behavioral Health | 232 Newsome Rd, King, NC 27021-8507 | 2013-04-05 |
| 1700082120 | Daymark Recovery Services Inc | Community/Behavioral Health | 741 Spainhour Rd, King, NC 27021-9393 | 2007-06-22 |
| 1619173036 | Daymark Recovery Services Inc | Community/Behavioral Health | 741 Spainhour Rd, King, NC 27021-9393 | 2007-06-22 |
| 1154527570 | Daymark Recovery Services Inc | Community/Behavioral Health | 741 Spainhour Rd, King, NC 27021-9393 | 2007-06-22 |
| Find all providers in KING | ||||
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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.