YOUTH HOMES, INC (NPI# 1508042490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508042490 |
| Entity Type | Organization |
| Organization Name | YOUTH HOMES, INC |
| Other Organization Name | SECOND WIND GROUP HOME |
| Practice Address |
601 E 5th St Suite 330 Charlotte NC 28202-3031 |
| Practice Telephone | 7043349955 |
| Practice Fax Number | 7043757497 |
| Mailing Telephone | 7043349955 |
| Mailing Fax Number | 7043757497 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |
| Authorized Official Name | MR. FRANK H CRAWFORD JR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7043349955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL-060-061 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603959 | 05 |
| Other Name | Type Code |
|---|---|
| Second Wind Group Home | Other Name - Individual/Organization |
| Street Address |
601 E 5TH ST SUITE 330 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28202-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245293315 | United Family Services | Counselor | 601 E 5th St, Ste 400, Charlotte, NC 28202-3031 | 2006-04-10 |
| 1588055537 | Nicole Englebright | Social Worker | 601 E 5th St, Suite 400, Charlotte, NC 28202-3031 | 2015-02-12 |
| 1134559750 | Elizabeth Craver Pinard | Social Worker | 601 E 5th St, Suite 400, Charlotte, NC 28202-3031 | 2013-11-18 |
| 1679914592 | Jennifer B Lutz | Nurse Practitioner | 601 E 5th St, Charlotte, NC 28202-3031 | 2013-07-08 |
| 1730423062 | Noel Thomas-lester | Social Worker | 601 E 5th St, Suite 330, Charlotte, NC 28202-3031 | 2012-11-27 |
| 1720378516 | Beverly Nicole Milks | Counselor | 601 E 5th St, Charlotte, NC 28202-3031 | 2011-04-13 |
| 1306169818 | Susan Alton Haffner | Counselor | 601 E 5th St, Suite 400, Charlotte, NC 28202-3031 | 2010-03-11 |
| 1710115001 | Iliana Stavans | Counselor | 601 E 5th St, Suite 400, Charlotte, NC 28202-3031 | 2009-06-25 |
| 1255567996 | Mary Louise Albano | Social Worker | 601 E 5th St, Suite 400, Charlotte, NC 28202-3031 | 2009-06-09 |
| 1952580342 | Youth Homes, Inc. | Social Worker | 601 E 5th St, Suite 330, Charlotte, NC 28202-3031 | 2007-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609418425 | Monarch | Community/Behavioral Health | 215 North Pine Street Unit 705, Charlotte, NC 28202 | 2019-10-14 |
| 1396211892 | Brooke Graham | Behavior Technician | 107 New Edition Court Carey, Raleigh, NC 28202 | 2018-10-23 |
| 1740704352 | Targetcare, Inc. | Health Educator | 831 E. Morehead Street, Suite 900, Charlotte, NC 28202 | 2017-07-26 |
| 1659828291 | Reserve Health, PC | Family Medicine | 135 W 10th St, Charlotte, NC 28202 | 2016-09-01 |
| 1275905887 | Tameka Wade Brewington | Counselor | 615 E 6th St Ste 112, Charlotte, NC 28202 | 2015-10-22 |
| 1962815159 | Teisha Miller | Social Worker | 700 N. Tryon Street, Charlotte, NC 28202 | 2014-06-05 |
| 1699193672 | Elizabeth Ann Peterson-vita | Psychologist | 700 East Stonewall Street, Suite 714, Charlotte, NC 28202 | 2014-04-07 |
| 1942631437 | Avery Sales | Durable Medical Equipment & Medical Supplies | 103 W Morehead St, Charlotte, NC 28202 | 2013-12-09 |
| 1801236484 | Annette Goodman | Counselor | 415 E. Trade Street, Charlotte, NC 28202 | 2013-06-27 |
| 1174960181 | Jennifer D'silva | Dentist | 210 E Trade St # 484, Charlotte, NC 28202 | 2013-05-30 |
| Find all providers in zip 28202 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041667 | Jalisa Jackson | Community Based Residential Treatment Facility, Mental Illness | 11413 Mangla Dr, Charlotte, NC 28214-8885 | 2020-10-19 |
| 1457836736 | Miracle Houses, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7827 Kerry Brook Circle, Charlotte, NC 28214 | 2018-10-02 |
| 1306353248 | Families United | Community Based Residential Treatment Facility, Mental Illness | 6610 Harburn Forest Dr, Charlotte, NC 28269-6912 | 2017-12-31 |
| 1013466416 | Roha Solutions, Inc | Community Based Residential Treatment Facility, Mental Illness | 1529 Jennings St, Charlotte, NC 28216 | 2016-09-26 |
| 1104270636 | Dennis Griffin's Consulting | Community Based Residential Treatment Facility, Mental Illness | 4428 Staffordshire Ln, Charlotte, NC 28213-4238 | 2016-04-21 |
| 1336579077 | Growth and Wellness Center, LLC. | Community Based Residential Treatment Facility, Mental Illness | 12001 Olympic Club Dr, Charlotte, NC 28277-4057 | 2013-11-15 |
| 1912267477 | Between Faces Foundation, Inc | Community Based Residential Treatment Facility, Mental Illness | 13000 S Tryon St Ste F-179, Charlotte, NC 28278-7652 | 2012-05-17 |
| 1194084194 | Promising Youth & Adults Behavioral Healthcare, Inc | Community Based Residential Treatment Facility, Mental Illness | 2750 E Wt Harris Blvd Ste 105, Charlotte, NC 28213-4286 | 2012-05-10 |
| 1265747349 | Primary Care Solutions Inc | Community Based Residential Treatment Facility, Mental Illness | 6807 Idlewild Brook Ln, Charlotte, NC 28212-5858 | 2010-08-12 |
| 1902110828 | Primary Care Solutions Inc. | Community Based Residential Treatment Facility, Mental Illness | 2744 Fairstone Ave, Charlotte, NC 28269-5412 | 2010-08-03 |
| Find all providers in CHARLOTTE | ||||
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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.