FAMILY & YOUTH SERVICE (NPI# 1578695979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578695979 |
| Entity Type | Organization |
| Organization Name | FAMILY & YOUTH SERVICE |
| Practice Address |
331 W Main St Suite 611 Durham NC 27701-3232 |
| Practice Telephone | 9196802345 |
| Practice Fax Number | 9196808685 |
| Mailing Telephone | 9196802345 |
| Mailing Fax Number | 9196808685 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ANGELA L FORD (PRESIDENT) |
| Authorized Official Telephone | 9196802345 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | MHL 032 328 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3418223 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326171521 | Family & Youth Service | Case Management | 331 W Main St Ste 611, Durham, NC 27701-3232 | 2007-03-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY & YOUTH SERVICES BUREAU | 253 W Lincolnway, Valparaiso, IN 46383-5525 |
| Street Address |
331 W MAIN ST SUITE 611 |
| City | DURHAM |
| State | NC |
| Zip Code | 27701-3232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649403072 | Bd Solutions, LLC | Community/Behavioral Health | 331 W Main St, Ste 402, Durham, NC 27701-3232 | 2009-09-02 |
| 1104069905 | New Outlook Second Chance, Inc. | Clinic/Center | 331 W Main St, Suite 302-306, Durham, NC 27701-3232 | 2009-04-09 |
| 1750577334 | Family & Youth Services, Inc. | Community/Behavioral Health | 331 W Main St, Durham, NC 27701-3232 | 2007-09-18 |
| 1528161718 | Family & Youth Services Inc. | Case Management | 331 W Main St, Suite 611, Durham, NC 27701-3232 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952956179 | Sa'naa Lenoir | Naturopath | 1213 Avondale Drive Suite 4, Durham, NC 27701 | 2019-08-05 |
| 1225682792 | Sherifat Balogun | Pharmacist | 406 Rigsbee Ave Suite 201, Durham, NC 27701 | 2019-08-01 |
| 1427575950 | Kristen Kesler Desena | Speech-Language Pathologist | 1105 Englewood Avenue, Durham, NC 27701 | 2017-08-25 |
| 1295255263 | Tiffany Claire Ashe | Social Worker | 331 W Main St Ste 308, Durham, NC 27701 | 2017-06-21 |
| 1265815096 | Colleen Hamman | Specialist/Technologist | 616 E Lawson St, Durham, NC 27701 | 2015-06-29 |
| 1366843286 | Gene Mcphaul | Counselor | 3545 Mayfair St, Durham, NC 27701 | 2014-09-10 |
| 1245652957 | Michelle Annette Underdue | Social Worker | 801 East Main Street, Suite 2-120, Durham, NC 27701 | 2014-01-15 |
| 1518306109 | Lincicome Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300-a Northwood Circle, Durham, NC 27701 | 2013-06-18 |
| 1669754693 | Ruffin Home 2 | Assisted Living Facility | 830 N. Mangum St., Durham, NC 27701 | 2011-09-15 |
| 1609192657 | Samaritan Health Center, Inc. | Clinic/Center | 507 E. Knox Street, Durham, NC 27701 | 2010-04-15 |
| Find all providers in zip 27701 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598141871 | Comprehensive Community Care | Day Training, Developmentally Disabled Services | 804 Park Ridge Rd, Apt 8a, Durham, NC 27713-9227 | 2015-08-10 |
| 1427334499 | A Small Miracle, Inc. | Day Training, Developmentally Disabled Services | 3500 Westgate Dr Ste 303, Durham, NC 27707-2534 | 2011-10-22 |
| 1871819151 | Mrs Jennie's Place Adult Activity Center Corp | Day Training, Developmentally Disabled Services | 506 Ravenstone Ln, Durham, NC 27703-9621 | 2010-04-12 |
| 1669618765 | Community Resource Connections of North Carolina, LLC | Day Training, Developmentally Disabled Services | 12404 Kendall Ridge Ct, Durham, NC 27703-8542 | 2008-12-21 |
| 1447407325 | Murfin Support Services, LLC | Day Training, Developmentally Disabled Services | 1204 Oval Dr, Durham, NC 27705-3218 | 2008-08-22 |
| 1083861108 | Hidden Treasures of Nc LLC | Day Training, Developmentally Disabled Services | 3215 Guess Rd, Suite 101, Durham, NC 27705-2665 | 2008-08-20 |
| 1336302611 | Youth Extensions Inc. | Day Training, Developmentally Disabled Services | 1915 Chapel Hill Rd Ste A, Durham, NC 27707-1177 | 2008-07-07 |
| 1043470768 | Next Level Adolescent Services, Inc. | Day Training, Developmentally Disabled Services | 1107 Holloway St, Durham, NC 27701-3852 | 2008-06-16 |
| 1831364306 | Life Based Conceptions LLC | Day Training, Developmentally Disabled Services | 1415 W Nc Hwy, Ste 209, Durham, NC 27707-5578 | 2008-04-25 |
| 1992985790 | Wendy's House, Inc. | Day Training, Developmentally Disabled Services | 606 Gattis St, Durham, NC 27701-2832 | 2007-11-08 |
| Find all providers in DURHAM | ||||
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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.