Power Up Youth Services,Llc

LBN: Power Up Youth Services,Llc
Power Up Youth Services,Llc is an health care organization with primary practice located at 234 E Franklin St , Rockingham NC 28379-3627. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Power Up Youth Services,Llc can be contacted via phone (910) 997-6620, or through Taylor, Michael Shawn via phone (910) 997-6620.

Contact Information

Primary practice address
234 E Franklin St Rockingham NC 28379-3627
Phone: (910) 997-6620
Fax: (910) 997-6621
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Michael Shawn
Phone: (910) 997-6620

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1164620506
LBN Legal business name Power Up Youth Services,Llc
DBA Doing business as
Authorized official Taylor, Michael Shawn
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2007
Last updated Aug 14th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164620506 NPPES
North Carolina MEDICAID 8301512B

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