Excalibur Youth Services, LLC.
NPI 1710063375 · Emotionally Disturbed Childrens' Residential Treatment Facility · Greenville, SC
Excalibur Youth Services, LLC. is a Emotionally Disturbed Childrens' Residential Treatment Facility organization in Greenville, SC (NPI 1710063375).
Provider details
- NPI number
- 1710063375
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Marvin Short, Member(864) 679-0023
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense SR-0009711001-CCI (SC)
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2008-03-11
Frequently asked questions
- What is Excalibur Youth Services, LLC.'s NPI number?
- Excalibur Youth Services, LLC.'s National Provider Identifier (NPI) is 1710063375, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Excalibur Youth Services, LLC.?
- Excalibur Youth Services, LLC. is classified in the NPPES registry as Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facilities).
- Where is Excalibur Youth Services, LLC. located?
- Excalibur Youth Services, LLC.'s practice location on file with NPPES is 5321 Old Buncombe Rd, Greenville, SC 29609-0910.
- What is Excalibur Youth Services, LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Excalibur Youth Services, LLC. is (864) 679-0023.
- Who is the authorized official for Excalibur Youth Services, LLC.?
- The authorized official listed on Excalibur Youth Services, LLC.'s NPPES record is Marvin Short, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Excalibur Youth Services, LLC.'s NPI active?
- Yes — Excalibur Youth Services, LLC.'s NPI (1710063375) is active in the NPPES registry as of the last update on 2008-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.