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Excalibur Youth Services, LLC.

Emotionally Disturbed Childrens' Residential Treatment Facility in Greenville, SC · enumerated 2006 · authorized official Marvin Short, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710063375

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Registry record

Entity type Organization (Type 2)
Legal business name Excalibur Youth Services, LLC.
Practice address 5321 Old Buncombe Rd, Greenville, SC, 29609
Fax (864) 294-1774
Enumeration date Oct 27, 2006
Last updated in NPPES Mar 11, 2008

Taxonomy & classification

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Secondary
322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities · License SR-0009711001-CCI (SC) Primary

Authorized official

Name Marvin Short
Title Member

Other identifiers

Identifier Type State Issuer
907MXH Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Excalibur Youth Services, LLC.?
NPPES lists Marvin Short (Member) as the authorized official for this organization.
What is the NPI number for Excalibur Youth Services, LLC.?
The NPI for Excalibur Youth Services, LLC. is 1710063375, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-11.