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YOUTH HAVEN SERVICES, INC.
NPI 1083831168
Community Based Residential Treatment Facility, Mental Illness in Reidsville, NC

Active since April 19, 2007
1115 ROSEMONT DR, REIDSVILLE, NC 27320(336) 349-2233(336) 634-0444 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 21, 2020, Mar 20, 2019 (2 updates tracked since 2019).

About Youth Haven Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUTH HAVEN SERVICES, INC. (NPI 1083831168) is a healthcare organization registered as a community based residential treatment facility, mental illness in Reidsville, North Carolina and active in the NPI registry since April 2007. The organization lists Dawn Tucker Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1083831168
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameYOUTH HAVEN SERVICES, INC.
Location Address1115 ROSEMONT DRReidsville, NC 27320-4405
Mailing Address229 Turner DrReidsville, NC 27320-5736 · (336) 349-2233 · Fax (336) 634-0444
Phone(336) 349-2233
Fax(336) 634-0444
Organization SubpartNo
Authorized OfficialDawn Tucker JohnsonPresident · (336) 349-2233
Enumeration DateApril 19, 2007
Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
✔ NPI 1083831168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X · License MHL079073 (NC)
1115 ROSEMONT DR, Reidsville, NC 27320
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Other Identifiers 1

Medicaid6604091NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Youth Haven Services, Inc.'s NPI number?

The NPI number for Youth Haven Services, Inc. is 1083831168. It was assigned to this organization in the NPPES registry on April 19, 2007.

Where is Youth Haven Services, Inc. located?

Youth Haven Services, Inc. is located at 1115 Rosemont Dr, Reidsville, NC 27320. The listed phone number is (336) 349-2233.

What is Youth Haven Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Youth Haven Services, Inc. was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.