INNERCHANGE YOUTH HOMES LLC


Address: 724 Raindrops Rd, Gastonia, NC 28054-1779
Phone: 7048840096

INNERCHANGE YOUTH HOMES LLC (NPI# 1982854360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982854360
Entity Type Organization
Organization Name INNERCHANGE YOUTH HOMES LLC
Other Organization Name INNERCHANGE YOUTH DIVISION 1
Practice Address 724 Raindrops Rd
Gastonia
NC 28054-1779
Mailing Address P.o. Box 36448
Charlotte
NC 28236-6448
Practice Telephone 7048840096
Practice Fax Number 7048840097
Mailing Telephone 7048840096
Mailing Fax Number 7048840097
Enumeration Date 2008-09-23
Last Update Date 2008-09-23
Authorized Official Name MRS. DINA CATRESS SAWYER (OWNER/DIRECTOR)
Authorized Official Telephone 7044581356
Authorized Official Credential B/S IN CRIMINAL
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children MHL036260 NC Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Innerchange Youth Division 1 Doing Business As Name - Organization

Office Location

Street Address 724 RAINDROPS RD
City GASTONIA
State NC
Zip Code 28054-1779

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225671423 Michaela Karsyn Morris Behavioral Analyst 2875 Court Dr. B, Gastonia, NC 28054 2019-10-21
1982263810 Brenda Sue Fox Occupational Therapist Brian Center, 969 Cox Rd, Gastonia, NC 28054 2019-06-13
1174096911 Carolinas Hometown Respiratory LLC Durable Medical Equipment & Medical Supplies 469 Hospital Drive, Suite B1, Gastonia, NC 28054 2019-01-04
1255801817 Jarae Mcswain Counselor 1558 Union Road, Ste F, Gastonia, NC 28054 2018-11-27
1427549807 Alterman & Dhillon Charlotte Metro, Pplc Dentist 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 2018-05-22
1871083147 Terrence Lamont Campbell Dentist 2641 Court Dr Ste A, Gastonia, NC 28054 2018-05-13
1861995367 Jefferson and Jefferson LLC. Respite Care 945 East 6 Ave, Gastonia, NC 28054 2018-03-12
1790154912 Tyler Adcock Pharmacist 2324 South New Hope Rd, Gastonia, NC 28054 2015-09-17
1922481894 Alesha Nicole Logan Nurse Practitioner 1895 Hoffman Rd Ste A, Gastonia, NC 28054 2015-07-09
1457732596 Buffie Baker Eller Counselor 2005 Flint Lane, Gastonia, NC 28054 2015-06-15
Find all providers in zip 28054

Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659842607 Gervonia Robinson Residential Treatment Facility, Emotionally Disturbed Children 1714 Aster Ln, Gastonia, NC 28054-8303 2018-12-16
1356616890 Steps for Success Family Services Residential Treatment Facility, Emotionally Disturbed Children 1024 Junius St, Gastonia, NC 28052-1189 2012-03-16
1982981882 New Transition LLC Residential Treatment Facility, Emotionally Disturbed Children 1589 Rolling Meadow Ln, Gastonia, NC 28054-6325 2011-11-07
1770810301 Focus Point Residential Treatment Facility, Emotionally Disturbed Children 1664 Plyler Lake Rd, Gastonia, NC 28054-3603 2009-11-03
1053552778 New Beginnings Residential Services Inc. Residential Treatment Facility, Emotionally Disturbed Children 413 S Webb St, Gastonia, NC 28052-3600 2009-03-09
1689828097 Steps for Success Family Services Residential Treatment Facility, Emotionally Disturbed Children 927 Floyd Ln, Gastonia, NC 28052-2700 2008-11-12
1720261910 Kids Depot Residential Treatment Facility, Emotionally Disturbed Children 100 May St, Gastonia, NC 28052-0407 2007-12-11
1639352826 Teen Scene Act 3 Residential Treatment Facility, Emotionally Disturbed Children 114 B Hollycrest Lane, Gastonia, NC 28056-9008 2007-12-11
1427277524 New Place, Inc. Residential Treatment Facility, Emotionally Disturbed Children 1628 Rankin Lake Rd, Gastonia, NC 28052-1888 2007-04-25
1275652430 New Genesisi Residential Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 300 Downey Pl, Gastonia, NC 28054-3903 2007-03-28
Find all providers in GASTONIA

Competitor

Search similar providers

City GASTONIA
Zip Code 28054

Improve Information

Please comment or provide details below to improve the information on INNERCHANGE YOUTH HOMES LLC.

Dataset Information

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.

Trending Searches