YOUTH HAVEN SERVICES, INC. (NPI# 1508261769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508261769 |
| Entity Type | Organization |
| Organization Name | YOUTH HAVEN SERVICES, INC. |
| Practice Address |
152 E School St King NC 27021-7954 |
| Mailing Address |
229 Turner Dr Reidsville NC 27320-5736 |
| Practice Telephone | 3369835824 |
| Mailing Telephone | 3363492233 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | MRS. DAWN TUCKER JOHNSON (CEO) |
| 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 |
| 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 |
| 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 |
| 1780801860 | Youth Haven Services, Inc. | Community/Behavioral Health | 229 Turner Dr, Reidsville, NC 27320-5736 | 2007-04-19 |
| 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 |
152 E SCHOOL ST |
| City | KING |
| State | NC |
| Zip Code | 27021-7954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672252 | Meagan L Hankins | Occupational Therapy Assistant | 440 Ingram Road, King, NC 27021 | 2020-06-08 |
| 1447898754 | Magnolia Eye Care, O.d. Pllc | Optometrist | 141 Spruce Pine Way, Suite C, King, NC 27021 | 2019-12-17 |
| 1700268000 | Andrew Kiger | Physical Therapist | 710 Kirby Rd, King, NC 27021 | 2015-06-23 |
| 1053745471 | Priddy Manor Assisted Living | Custodial Care Facility | 1294 Priddy Road, King, NC 27021 | 2013-08-22 |
| 1790068369 | Mohamed Hamdy Darwish | Pharmacist | 600 S Main St., King, NC 27021 | 2011-09-21 |
| 1093000192 | Megan Kistler | Pharmacist | 600 S. Main Street, King, NC 27021 | 2011-06-16 |
| 1316237563 | A.t. Bassiri, D.d.s., P.a. | Dentist | 226 Kirby Road, King, NC 27021 | 2011-04-08 |
| 1033417258 | Teresa Bryant Jennings | Pharmacist | 650 S. Main Street, King, NC 27021 | 2011-03-11 |
| 1669681854 | King Medical Associates | Family Medicine | 202 Scenic Drive, King, NC 27021 | 2007-05-22 |
| 1447319595 | North Carolina Cvs Pharmacy LLC | Pharmacy | 600 South Main St, King, NC 27021 | 2006-12-06 |
| Find all providers in zip 27021 | ||||
| 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 |
|---|---|---|---|---|
| 1114161056 | Cnc/access, Inc. | Community/Behavioral Health | 615 E King St, King, NC 27021-9165 | 2009-04-22 |
| 1528159563 | Springwell Network, Inc. | Community/Behavioral Health | 100 Mcgee Ct, King, NC 27021-9531 | 2006-09-27 |
| 1740694447 | Youth Haven Services | Community/Behavioral Health | 817 Meadowbrook Dr, King, NC 27021-8248 | 2014-06-20 |
| 1821420241 | Pqa Healthcare, Inc | Community/Behavioral Health | 202 Scenic Dr, King, NC 27021-9418 | 2013-08-08 |
| 1285066340 | Pqa Healthcare, Inc | Community/Behavioral Health | 741 Spainhour Rd, King, NC 27021-9393 | 2013-07-31 |
| 1891138020 | Rha Health Services Inc | Community/Behavioral Health | 817 Meadowbrook Dr, King, NC 27021-8248 | 2013-04-08 |
| 1639412844 | Rha Health Services Inc | Community/Behavioral Health | 232 Newsome Rd, King, NC 27021-8507 | 2013-04-05 |
| 1700082120 | Daymark Recovery Services Inc | Community/Behavioral Health | 741 Spainhour Rd, King, NC 27021-9393 | 2007-06-22 |
| 1619173036 | Daymark Recovery Services Inc | Community/Behavioral Health | 741 Spainhour Rd, King, NC 27021-9393 | 2007-06-22 |
| 1154527570 | Daymark Recovery Services Inc | Community/Behavioral Health | 741 Spainhour Rd, King, NC 27021-9393 | 2007-06-22 |
| Find all providers in KING | ||||
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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.