PAUL ANDERSON YOUTH HOME, INC.
NPI 1801235312
Residential Treatment Facility, Emotionally Disturbed Children in Vidalia, GA

Active since June 18, 2013
1603 MCINTOSH STREET, VIDALIA, GA 30474(912) 537-7237(912) 537-8734 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul Anderson Youth Home, Inc. NPPES

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

PAUL ANDERSON YOUTH HOME, INC. (NPI 1801235312) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Vidalia, Georgia and active in the NPI registry since June 2013. The organization lists Betty C. Burris, Program Director, as its authorized official.

NPPES Registry Identity

NPI1801235312
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NamePAUL ANDERSON YOUTH HOME, INC.
Location Address1603 MCINTOSH STREETVidalia, GA 30474
Mailing AddressPo Box 525Vidalia, GA 30475-0525 · (912) 537-7237
Fax(912) 537-8734
Organization SubpartNo
Authorized OfficialBetty C. BurrisProgram Director · (912) 537-7237
Enumeration DateJune 18, 2013
NPI 1801235312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
1603 MCINTOSH STREET, Vidalia, GA 30474

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 Paul Anderson Youth Home, Inc.'s NPI number?

The NPI number for Paul Anderson Youth Home, Inc. is 1801235312. It was assigned to this organization in the NPPES registry on June 18, 2013.

Where is Paul Anderson Youth Home, Inc. located?

Paul Anderson Youth Home, Inc. is located at 1603 Mcintosh Street, Vidalia, GA 30474. The listed phone number is (912) 537-7237.

What is Paul Anderson Youth Home, Inc.'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 Paul Anderson Youth Home, Inc. was last updated on June 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.