UNITED YOUTH CARE SERVICES (NPI# 1306884069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306884069 |
| Entity Type | Organization |
| Organization Name | UNITED YOUTH CARE SERVICES |
| Practice Address |
1207 4th Street Greensboro NC 27405 |
| Mailing Address |
1207 4th St Greensboro NC 27405-6622 |
| Practice Telephone | 3363709232 |
| Mailing Telephone | 3363709232 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2018-06-22 |
| Authorized Official Name | MR. DONALD BOOKER (CEO) |
| Authorized Official Telephone | 3363709232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 207KI0005X |
Allergy & Immunology Specialization: Clinical & Laboratory Immunology |
Allopathic & Osteopathic Physicians | ||
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408412 | 05 | |
| NC | 8300016K | 05 | |
| NC | 6006025 | 05 | |
| NC | 8300016G | 05 | |
| NC | 8300941H | 05 | |
| NC | 8300016F | 05 | |
| NC | 8300934H | 05 | |
| NC | 8300941G | 05 | |
| NC | 8300016B | 05 | |
| NC | 8300941B | 05 | |
| NC | 8300016 | 05 | |
| NC | 8300016H | 05 | |
| NC | 6006013 | 05 | |
| NC | 8300934B | 05 | |
| NC | 60 06024 | 05 | |
| NC | 8300934 | 05 | |
| NC | 8300934G | 05 | |
| NC | 8300941 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | United Youth Care Services | 1914 Amber Lane , Greensboro, NC 27407 |
| Virginia Business Entity | United Youth Care Services | 1207 FOURTH STREET , GREENSBORO, NC 27405 |
| Street Address |
1207 4TH STREET |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487212551 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 4380 Federal Dr Ste 100, Greensboro, NC 27410-8149 | 2019-06-03 |
| 1033687116 | Pinnacle Laboratory Services, LLC | Clinical Medical Laboratory | 1325 S Eugene St Ste 204, Greensboro, NC 27406-1470 | 2018-11-07 |
| 1952892119 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 719 Green Valley Rd Ste 101, Greensboro, NC 27408-7022 | 2018-05-23 |
| 1174061949 | United Diagnostic Testing Center | Clinical Medical Laboratory | 302k Pomona Dr Ste K, Greensboro, NC 27407-1620 | 2017-02-01 |
| 1114462934 | Daily Lab Sources | Clinical Medical Laboratory | 2838 S Elm Eugene St, Suite 205, Greensboro, NC 27406-4410 | 2017-01-03 |
| 1174910772 | Excell Diagnostics, LLC | Clinical Medical Laboratory | 1100 Revolution Mill Dr Ste 1, Greensboro, NC 27405-5068 | 2015-04-21 |
| 1982041521 | Accurate Medical Lab Inc | Clinical Medical Laboratory | 2023 16th St, Suite B, Greensboro, NC 27405-5119 | 2013-05-22 |
| 1003110149 | Step By Step Care, Inc. | Clinical Medical Laboratory | 709 E Market St Ste 100b, Greensboro, NC 27401-3282 | 2011-01-04 |
| 1245561349 | Ameritox, LLC | Clinical Medical Laboratory | 486 Gallimore Dairy Rd, Greensboro, NC 27409-9725 | 2010-01-29 |
| 1558346940 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1126 N Church St Ste 104, Greensboro, NC 27401-1035 | 2005-12-08 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
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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.