Organization Active NPI

Youngs Healthcare Inc.

  • Home Health Agency
  • Annandale, VA
National Provider Identifier
1164722237
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-11695 Issued in VA
Legal business name
YOUNGS HEALTHCARE INC.
Practice address
7018 Evergreen CT Ste 5a
Annandale, VA 22003-3271
Phone
(703) 649-4271
Fax
(877) 628-2718
NPI assigned
Oct 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Mrs. Young Shin Lee
Title
Administrator
Phone
(703) 628-2175

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-11695 VA Primary
Home Health Agency 251E00000X
Home Infusion Agency 251F00000X HCO-11695 VA
Nursing Care Agency 251J00000X HCO-11695 VA

Addresses

Primary practice location

7018 Evergreen CT Ste 5a
Annandale, VA 22003-3271

Mailing address

4215 Evergreen LN
Annandale, VA 22003-3210
Phone (703) 649-4271

Other practice location 1

4215 Evergreen Ln
Annandale, VA 22003-3210
Phone (703) 649-4271

Other practice location 2

7018 Evergreen Ct Ste 5A
Annandale, VA 22003-3271
Phone (703) 649-4271

National Provider Directory

National Provider Directory

Locations

7018 Evergreen Ct
Ste 5A
Annandale, VA 22003
Phone (703) 649-4271

7340 Heritage Village Plz
#102
Gainesville, VA 20155
Phone (571) 261-4929

NPI Registry JSON

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

{
    "created_epoch": "1287792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1164722237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 EVERGREEN LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033210",
            "telephone_number": "703-649-4271",
            "fax_number": "877-628-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7018 EVERGREEN CT STE 5A",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033271",
            "telephone_number": "703-649-4271",
            "fax_number": "877-628-2718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4215 Evergreen Ln",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220033210",
            "country_code": "US",
            "telephone_number": "703-649-4271",
            "fax_number": "877-628-2718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7018 Evergreen Ct Ste 5A",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220033271",
            "country_code": "US",
            "telephone_number": "703-649-4271",
            "fax_number": "877-628-2718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUNGS HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-23",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "SHIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-628-2175",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-11695",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "VA",
            "license": "HCO-11695",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "VA",
            "license": "HCO-11695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.