Evan P. Young
Individual provider Active NPI Homemaker · Glouster, OH
NPI 1114710092 · NPPES record last updated May 23, 2025
Key facts
- NPI
- 1114710092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 10770 Hooper Ridge Rd
Glouster, OH 45732-9247 - Phone
- (740) 590-3780
- NPI assigned
- May 23, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
10770 Hooper Ridge Rd
Glouster, OH 45732-9247
Mailing address
10770 Hooper Ridge Rd
Glouster, OH 45732-9247
Phone (740) 590-3780
Other providers in Glouster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.