YOUTH HAVEN SERVICES, INC. (NPI# 1780801860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780801860 |
| Entity Type | Organization |
| Organization Name | YOUTH HAVEN SERVICES, INC. |
| Practice Address |
229 Turner Dr Reidsville NC 27320-5736 |
| Practice Telephone | 3363492233 |
| Practice Fax Number | 3366340444 |
| Mailing Telephone | 3363492233 |
| Mailing Fax Number | 3366340444 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | MS. DAWN TUCKER JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 3363492233 |
| Authorized Official Credential | LCSW |
| 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 | 8300811G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598248932 | Youth Haven Services, Inc. | Community/Behavioral Health | 339 Wall St Ste 409, Yanceyville, NC 27379-9382 | 2018-09-12 |
| 1457748899 | Youth Haven Services, Inc. | Community/Behavioral Health | 131 Plant St, Walnut Cove, NC 27052-9223 | 2015-04-23 |
| 1508261769 | Youth Haven Services, Inc. | Community/Behavioral Health | 152 E School St, King, NC 27021-7954 | 2014-10-30 |
| 1174961593 | Youth Haven Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 911 Berrymore Rd, Reidsville, NC 27320-8765 | 2013-06-07 |
| 1871886929 | Youth Haven Services, Inc. | Community/Behavioral Health | 2815 S Church St Unit 100, Burlington, NC 27215-5105 | 2011-05-24 |
| 1386940294 | Youth Haven Services, Inc. | Community/Behavioral Health | 526 N Elam Ave Ste 103, Greensboro, NC 27403-1132 | 2011-02-10 |
| 1083831168 | Youth Haven Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1115 Rosemont Dr, Reidsville, NC 27320-4405 | 2007-04-19 |
| 1407073588 | Youth Haven Services, Inc. | Community/Behavioral Health | 7921 Us Highway 158, Reidsville, NC 27320-7606 | 2007-04-19 |
| 1821395682 | Youth Haven Services, Inc. | Community/Behavioral Health | 401 Moss St, Reidsville, NC 27320-3439 | 2011-02-14 |
| 1902103765 | Youth Haven Services, Inc. | Day Training, Developmentally Disabled Services | 229 Turner Dr, Reidsville, NC 27320-5736 | 2011-02-14 |
| Street Address |
229 TURNER DR |
| City | REIDSVILLE |
| State | NC |
| Zip Code | 27320-5736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144879156 | Ineshia Reshawn Goods | Social Worker | 229 Turner Dr, Reidsville, NC 27320-5736 | 2019-09-11 |
| 1013579945 | Brittney Talia Thomas | Social Worker | 229 Turner Dr, Reidsville, NC 27320-5736 | 2019-07-01 |
| 1972162956 | Jenay Rebecca Cole | Social Worker | 229 Turner Dr, Reidsville, NC 27320-5736 | 2019-06-12 |
| 1962061598 | Janaye Shatoya Hargrave | Social Worker | 229 Turner Dr, Reidsville, NC 27320-5736 | 2019-06-07 |
| 1124687975 | Jordan Harris Rayfield | Social Worker | 229 Turner Dr, Reidsville, NC 27320-5736 | 2019-06-06 |
| 1548738339 | Dustin Luke Gantos | Counselor | 229 Turner Dr, Reidsville, NC 27320-5736 | 2018-11-09 |
| 1356830087 | Sydney Ashlynne Dawson | Counselor | 229 Turner Dr, Reidsville, NC 27320-5736 | 2018-05-08 |
| 1861990301 | Mackenzie Erin Gibbons | Counselor | 229 Turner Dr, Reidsville, NC 27320-5736 | 2018-01-30 |
| 1821511759 | Charles Edward Hubert Jr. | Social Worker | 229 Turner Dr, Reidsville, NC 27320-5736 | 2017-07-23 |
| 1396293304 | Valarie C Mcnair | Counselor | 229 Turner Dr, Reidsville, NC 27320-5736 | 2016-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1538796966 | Dabney Varner Porter | Speech-Language Pathologist | 613 S. Main St., Reidsville, NC 27320 | 2020-03-25 |
| 1053868463 | Marlon Nolen | Social Worker | 425 Nc-65, Reidsville, NC 27320 | 2016-09-01 |
| 1659741346 | Gepernard Tania Polidor | Social Worker | 405 Nc-65, Reidsville, NC 27320 | 2015-10-07 |
| 1548687064 | Angel Allen | Skilled Nursing Facility | 255 Penn Lake Dr, Reidsville, NC 27320 | 2014-03-21 |
| 1801234844 | Remmsco | Substance Abuse Rehabilitation Facility | 106 N. Franklin St, Reidsville, NC 27320 | 2013-06-12 |
| 1861733669 | The Free Clinic of Rockingham County, Inc | Clinic/Center | 315 S. Main Street, Reidsville, NC 27320 | 2013-03-05 |
| 1396094173 | Helen Elizabeth Brooks | Nurse Practitioner | 502 South Scales Street, Reidsville, NC 27320 | 2012-09-07 |
| 1952650327 | Ashlee Place | Assisted Living Facility | 538 Warriner Street, Reidsville, NC 27320 | 2012-08-31 |
| 1558638536 | Tracey Caroline Cook | Pharmacist | 1623 Way, Reidsville, NC 27320 | 2011-11-19 |
| Find all providers in zip 27320 | ||||
| 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 |
|---|---|---|---|---|
| 1578086542 | Faith & Love Connection Center | Community/Behavioral Health | 140 S. Scales Street, Suite 201, Reidsville, NC 27320-2732 | 2017-07-21 |
| 1750695136 | Umar Serices, Inc | Community/Behavioral Health | 231 S Scales St, Reidsville, NC 27320-3835 | 2010-07-28 |
| 1528292505 | Daymark Recovery Services Inc | Community/Behavioral Health | 179 Communications Lane, Reidsville, NC 27320-8088 | 2009-05-06 |
| 1740422781 | Faith In Families Inc | Community/Behavioral Health | 232 Gilmer St Ste 206, Reidsville, NC 27320-3862 | 2009-04-06 |
| 1154509529 | Rockingham County Schools Day Treatment Program | Community/Behavioral Health | 401 Moss St, Reidsville, NC 27320-3439 | 2008-02-07 |
| 1598940959 | Alcohol and Drug Services | Community/Behavioral Health | 1419 Freeway Dr, Reidsville, NC 27320-7105 | 2008-01-04 |
| 1912186123 | Therapeutic Community Resources Inc | Community/Behavioral Health | 1309 Freeway Dr, Suite 2, Reidsville, NC 27320-7172 | 2007-10-24 |
| 1407073588 | Youth Haven Services, Inc. | Community/Behavioral Health | 7921 Us Highway 158, Reidsville, NC 27320-7606 | 2007-04-19 |
| 1659798999 | Faith In Families,inc | Community/Behavioral Health | 232 Gilmer St, Reidsville, NC 27320-3860 | 2014-03-25 |
| 1548684756 | Precision Health Care Services | Community/Behavioral Health | 546 Sandy Cross Rd, Reidsville, NC 27320-7820 | 2014-02-07 |
| Find all providers in REIDSVILLE | ||||
| City | REIDSVILLE |
| Zip Code | 27320 |
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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.