Young 60 Plus Club LLC.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

YOUNG 60 PLUS CLUB LLC.

Practice address

4437 Lincoln Hwy
Matteson, IL 60443-2317

Phone

(833) 960-7587

Fax

(309) 882-0065

NPI assigned

Apr 27, 2022

Last updated

Dec 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brittney M Jeter, LPN, IPN, MA,NPI 1760222517

Title

Ceo

Phone

(833) 960-7587

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brittney M Jeter, LPN

  • Licensed Practical Nurse
  • Matteson, IL
  • NPI 1760222517
  NPD Authorized official

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1205570942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4437 LINCOLN HWY",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432317",
            "telephone_number": "833-960-7587",
            "fax_number": "309-882-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 LINCOLN HWY",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432317",
            "telephone_number": "833-960-7587",
            "fax_number": "309-882-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG 60 PLUS CLUB LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-960-7587",
        "authorized_official_credential": "LPN, IPN, MA,"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Wilson Jr.
• Rachel Winslow
• Women's Health & Beyond PLLC
• Worldwide Security and Transportation
• Worldwide Security and Transportation Services
• Dajauna F Young, FNP
• Kayla Lauren Young
• Raenette Young
• Christa P Younger Hill, LCSW
• Anita Zakari, FNP-BC

• Adult Day Care Clinic/Center in Matteson, IL
• Providers in Matteson, IL by specialty
• Adult Day Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.