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YOUNG HOMES NPI 1831302108


NPI Information

NPI: 1831302108
Provider Name: YOUNG HOMES
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
910 N ITHACA AVE
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 967-2322
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YOUNG HOMES is an intermediate care facility mentally retarded in Russellville, AR. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. YOUNG HOMES NPI is 1831302108. The provider is registered as an organization entity type.

The provider's business location address is:

910 N ITHACA AVE
RUSSELLVILLE, AR
ZIP 72801-301
Phone: (479) 967-2322

The provider's authorized official is Cindy Mahan .
The authorized official title is Ceo and has the following contact phone number (479) 967-2322.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual Disabilities444ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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