AVON PARK YOUTH ACADEMY – NPI #1740596022
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

AVON PARK YOUTH ACADEMY is a community based residential treatment facility located in BARTOW, FL. NPPES has assigned the NPI number 1740596022 to AVON PARK YOUTH ACADEMY on August 25, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVON PARK YOUTH ACADEMY” is a dba name, the actual legal business name for this organization is G4S YOUTH SERVICES, LLC. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVON PARK YOUTH ACADEMY below.

NPI Profile for
G4S YOUTH SERVICES, LLC

NPI Number
1740596022
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
G4S YOUTH SERVICES, LLC
Doing Business As (dba): AVON PARK YOUTH ACADEMY
Primary location
2145 BOB PHILLIPS RD
BARTOW, FL 33830-6700
Phone: (863) 519-5581 Fax: (863) 519-6603
Mailing address
4200 WACKENHUT DR
WEST PALM BEACH, FL 33410-4242
Phone: (561) 691-6729 Fax: (561) 691-6578
Organization Subpart
No
Authorized Official
KERRY KNOTT
CHIEF EXECUTIVE OFFICER
Phone: (561) 691-6729
Updated
Identifiers

Identifiers for AVON PARK YOUTH ACADEMY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL070754502
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 FL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.