ELEVATION YOUTH LIVING LLC
NPI 1366381626
Residential Treatment Facility, Emotionally Disturbed Children in Kingstown, NC

Active since March 25, 2026
1917 PETTY RD, KINGSTOWN, NC 28150(980) 525-2566 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Elevation Youth Living Llc NPPES

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

ELEVATION YOUTH LIVING LLC (NPI 1366381626) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Kingstown, North Carolina and active in the NPI registry since March 2026. The organization lists Deidre Hudson, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1366381626
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameELEVATION YOUTH LIVING LLC
Location Address1917 PETTY RDKingstown, NC 28150-8826
Mailing Address1917 Petty RdKingstown, NC 28150-8826 · (980) 525-2566
Organization SubpartNo
Authorized OfficialDeidre HudsonOwner/ceo · (980) 525-2566
Enumeration DateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
NPI 1366381626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
1917 PETTY RD, Kingstown, NC 28150

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 Elevation Youth Living LLC's NPI number?

The NPI number for Elevation Youth Living LLC is 1366381626. It was assigned to this organization in the NPPES registry on March 25, 2026.

Where is Elevation Youth Living LLC located?

Elevation Youth Living LLC is located at 1917 Petty Rd, Kingstown, NC 28150. The listed phone number is (980) 525-2566.

What is Elevation Youth Living LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Elevation Youth Living LLC was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.