Vanessa Young

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Practice address

2484 Main St
Plantersville, MS 38862-5002

Phone

(662) 205-4597

Fax

(662) 205-4837

NPI assigned

May 6, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amazing Adult Daycare Center, LLC

  • Adult Day Care Clinic/Center
  • Plantersville, MS
  • NPI 1619597960
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1063899326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2484 MAIN ST",
            "city": "PLANTERSVILLE",
            "state": "MS",
            "postal_code": "388625002",
            "telephone_number": "662-205-4597",
            "fax_number": "662-205-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2484 MAIN ST",
            "city": "PLANTERSVILLE",
            "state": "MS",
            "postal_code": "388625002",
            "telephone_number": "662-205-4597",
            "fax_number": "662-205-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "1063899326",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amazingihr69@gmail.com",
            "affiliation": "N",
            "address_1": "2484 Main St",
            "city": "Plantersville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388625002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rural Mental Health
• Margaret E Seaman, CFNP
• Tri-Vista Rehab, Inc
• Urban Healthcare Developers, LLC
• Mitchell Williams, FNP-C

• Adult Day Care Clinic/Center in Plantersville, MS
• Providers in Plantersville, MS by specialty
• Adult Day Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.