Active NPI
Youngs Healthcare Inc.
- Home Health Agency
- Annandale, VA
National Provider Identifier
1164722237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HCO-11695
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.