THE YOUTH ACADEMY INC (NPI# 1497825723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497825723 |
| Entity Type | Organization |
| Organization Name | THE YOUTH ACADEMY INC |
| Other Organization Name | YOUTH ACADEMY GROUP HOME |
| Practice Address |
237 Lela Harrison Road Kingstree SC 29556 |
| Mailing Address |
Post Office Box 174 Kingstree SC 29556 |
| Practice Telephone | 8433825927 |
| Practice Fax Number | 8433825826 |
| Mailing Telephone | 8433825927 |
| Mailing Fax Number | 8433825826 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CURTIS WILLIAM BOSTON SR. (CHAIRMAN OF THE BOARD) |
| Authorized Official Telephone | 8433825927 |
| Authorized Official Credential | PASTOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 944MXH | 05 |
| Other Name | Type Code |
|---|---|
| Youth Academy Group Home | Doing Business As Name - Organization |
| Street Address |
237 LELA HARRISON ROAD |
| City | KINGSTREE |
| State | SC |
| Zip Code | 29556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689198996 | April Wilson | Home Health Aide | 706 Sandy Bay Rd, Kingstree, SC 29556 | 2017-07-28 |
| 1588000657 | Jennifer Moore Lamb | Registered Nurse | 500 North Academy St, Building K, Kingstree, SC 29556 | 2013-05-16 |
| 1619227014 | Hallie Mcnair Dubose | Pharmacist | 120 North Longstreet St, Kingstree, SC 29556 | 2012-09-12 |
| 1699969733 | Black River Healthcare, Inc. | Obstetrics & Gynecology | 500 Thurgood Marshall Boulevard, Suite A, Kingstree, SC 29556 | 2007-08-31 |
| 1457578486 | Dawkins Medical Transport | Ambulance | 89 Drylog Avenue, Kingstree, SC 29556 | 2007-04-19 |
| 1306971502 | Vital Aging of Williamsburg County, Inc. | Home Delivered Meals | 501 North Longstreet Street, Kingstree, SC 29556 | 2007-02-21 |
| 1356489579 | Harry Wells Floyd | General Practice | 500 Thurgood Marshall Blvd, Suite F, Kingstree, SC 29556 | 2007-02-01 |
| 1306995782 | Joann Conyers Lockhart | Health Educator | 500 Academy Street, Kingstree, SC 29556 | 2007-01-09 |
| 1427151109 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 120 N Longst St, Kingstree, SC 29556 | 2006-09-07 |
| 1497798599 | Black River Healthcare, Inc. | Clinic/Center | 520 Thurgood Marshall Blvd., Suite B, Kingstree, SC 29556 | 2006-06-14 |
| Find all providers in zip 29556 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855352 | Giving Hope Supportive Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 305 Shada Ln, Greenville, SC 29611-2068 | 2020-06-15 |
| 1235531872 | Infiniti Solutions Global LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4706 E Highway 76, Mullins, SC 29574-7290 | 2014-09-25 |
| 1093136830 | Kidbuilders LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 N. Maple St, Suite 8, Simpsonville, SC 29681 | 2013-12-20 |
| 1063750941 | Colleton County Board of Disabilities and Special Needs | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 728 Hiers Corner Rd, Walterboro, SC 29488-5601 | 2013-01-28 |
| 1184826380 | York County Board of Disabilities & Special Needs | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7900 Park Place Rd, York, SC 29745-7476 | 2007-06-01 |
| 1790820041 | Marion-dillon County Board of Disabilities and Special Needs | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 400 Ml King Drive, Marion, SC 29571-1082 | 2007-02-21 |
| 1760543524 | Valley of Youth | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 352 Spring Park Rd, Marietta, SC 29661-9229 | 2006-12-13 |
| 1972524957 | Windwood Farm Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4857 Windwood Farm Rd, Awendaw, SC 29429-5951 | 2006-07-22 |
| 1679010276 | Lamonte Dunlap | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 402 N Main St, Summerville, SC 29483-6440 | 2017-01-21 |
| 1053659169 | Allendale Barnwell Counties Dsn Board | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 20 Park St, Barnwell, SC 29812-2900 | 2013-01-24 |
| Find all providers with the same taxonomy | ||||
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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.