YOUTH HEALTH ASSOCIATES, INC. (NPI# 1760026942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760026942 |
| Entity Type | Organization |
| Organization Name | YOUTH HEALTH ASSOCIATES, INC. |
| Practice Address |
40 Hob Rd Los Lunas NM 87031-7601 |
| Mailing Address |
299 N 200 W Bountiful UT 84010-7043 |
| Practice Telephone | 5059034411 |
| Practice Fax Number | 8016838962 |
| Mailing Telephone | 8013308845 |
| Mailing Fax Number | 8016838962 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Authorized Official Name | SHAYNE MILLER (CFO) |
| Authorized Official Telephone | 8013308845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518340173 | Youth Health Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 920 North 000 West, Manti, UT 84642-1065 | 2015-07-01 |
| 1407875750 | Youth Health Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 299 N 200 W, Bountiful, UT 84010-7043 | 2006-07-18 |
| 1396120358 | Youth Health Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 387 E 450 S, Clearfield, UT 84015-1734 | 2015-07-20 |
| 1669857629 | Youth Health Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 446 E 450 S, Clearfield, UT 84015-1736 | 2015-07-20 |
| 1750766713 | Youth Health Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 836 N 1375 W, Provo, UT 84604-3049 | 2015-07-20 |
| 1578948535 | Youth Health Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 430 E 450 S, Clearfield, UT 84015-1736 | 2015-07-20 |
| 1598149163 | Youth Health Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2015-07-14 |
| Street Address |
40 HOB RD |
| City | LOS LUNAS |
| State | NM |
| Zip Code | 87031-7601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164506077 | Robert Anthony Mace Serratore | Counselor | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2006-10-25 |
| 1144865650 | Arthur Ray Jaramillo | Community Health Worker | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2019-11-08 |
| 1316582810 | Michaela Wood | Community Health Worker | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2019-11-08 |
| 1992340400 | Joshua James Callan | Community Health Worker | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2019-11-08 |
| 1477198976 | Christopher Leo Rael | Community Health Worker | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2019-11-08 |
| 1316582844 | Ernesto Valdez | Community Health Worker | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2019-11-07 |
| 1760797666 | Beverly Ann Woodbury | Social Worker | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2010-08-16 |
| 1679802300 | Robert Hodges | Counselor | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2009-12-08 |
| 1992853469 | Yvonne E. Garley-alvarez | Social Worker | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2007-01-08 |
| 1487729943 | Paulette Marie Kaskinen | Counselor | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
| 1407415235 | Brittany Leigh Dow | Family Medicine | 328 Main St Sw, Los Lunas, NM 87031 | 2019-06-05 |
| 1942764162 | Christine Beevers | Occupational Therapy Assistant | 310 Bonita Vista Blvd, Los Lunas, NM 87031 | 2019-01-23 |
| 1669953105 | Patricia A Ziehl | Occupational Therapy Assistant | 119 Luna Ave., Los Lunas, NM 87031 | 2018-08-23 |
| 1922500776 | Mellisa Marie Everett | Massage Therapist | 3414 Nm- 47, Los Lunas, NM 87031 | 2018-03-07 |
| 1831699917 | Nachelle Lynn Pell | Registered Nurse | 310 Bonita Vista, Los Lunas, NM 87031 | 2018-02-15 |
| 1053829135 | Valencia Denise Jackson | Registered Nurse | 46 Chacon Rd., Los Lunas, NM 87031 | 2018-01-11 |
| 1548777972 | Aja Santana Armijo | Speech-Language Pathologist | 46 Chacon Blvd., Los Lunas, NM 87031 | 2018-01-08 |
| Find all providers in zip 87031 | ||||
| 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 |
|---|---|---|---|---|
| 1912448499 | Jennifer Harrison-sanchez | Community Based Residential Treatment Facility, Mental Illness | 9961 Academy Rd Nw, Albuquerque, NM 87114-4245 | 2017-03-16 |
| 1205219771 | Dismas House | Community Based Residential Treatment Facility, Mental Illness | 701 Candelaria, Albuquerque, NM 87108 | 2015-07-02 |
| 1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
| 1366712283 | Native American Behavioral Health Services P.C. | Community Based Residential Treatment Facility, Mental Illness | 3300 Box Canyon Ave, Suite A, Gallup, NM 87301-6940 | 2012-01-10 |
| 1508143652 | Pasos Adelante Behavioral Health Services | Community Based Residential Treatment Facility, Mental Illness | 101 Maguey Ct Ste 1, Sunland Park, NM 88063-9513 | 2011-11-03 |
| 1255621058 | Hobbs Recovery House | Community Based Residential Treatment Facility, Mental Illness | 218 W Lea St, Hobbs, NM 88240-5110 | 2011-04-13 |
| 1962720771 | The Willow Foundation | Community Based Residential Treatment Facility, Mental Illness | 1405 Madison Ave, Roswell, NM 88203-5535 | 2010-05-04 |
| 1720246051 | International Word of Faith Ministry | Community Based Residential Treatment Facility, Mental Illness | 1605 E Dunn St, Hobbs, NM 88240-6704 | 2008-05-22 |
| 1063563385 | Life Healing Center of Santa Fe | Community Based Residential Treatment Facility, Mental Illness | 25 Vista Point Rd, Santa Fe, NM 87508-7800 | 2007-01-15 |
| 1326136532 | El Rocky Mountain Management & Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 712 Rencher St, 316 West 7th Street, Clovis, NM 88101-6560 | 2006-10-11 |
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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.