Youth Academy Group Home

LBN: The Youth Academy Inc
Youth Academy Group Home is an health care organization with primary practice located at 237 Lela Harrison Road , Kingstree SC 29556. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. The Youth Academy Inc can be contacted via phone (843) 382-5927, or through Boston, Curtis William via phone (843) 382-5927.

Contact Information

Primary practice address
237 Lela Harrison Road Kingstree SC 29556
Fax: (843) 382-5826
Website:
Authorized official contact:
Name: Boston, Curtis William PASTOR

Profile Details

NPI number 1497825723
LBN Legal business name The Youth Academy Inc
DBA Doing business as Youth Academy Group Home
Authorized official Boston, Curtis William PASTOR
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1497825723 NPPES
South Carolina MEDICAID 944MXH

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