Antoinette Wisseh Young

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

99536210 Issued in PA

Practice address

1405 Veterans Hwy Apt M7
Bristol, PA 19007-2337

Phone

(602) 551-5448

NPI assigned

Feb 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1225782840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 VETERANS HWY APT M7",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072337",
            "telephone_number": "602-551-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 VETERANS HWY APT M7",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072337",
            "telephone_number": "602-551-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ANTOINETTE",
        "middle_name": "WISSEH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "PA",
            "license": "5216890",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "PA",
            "license": "99536210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "antoinettewyoung@arway-klay.com",
            "affiliation": "N",
            "endpointDescription": "Direct Care (Live-In Caregiver)",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "(838) 934-1059",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "(838) 934-1059",
            "address_1": "1405 Veterans Hwy Apt M7",
            "city": "Bristol",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190072337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wjo Inc.
• Women'S Health and Maternity Services, Inc
• Charles Woodruff, M.D.
• Woods Community Services LLC
• Mohammad Ayub M. Abdullah Yaser
• Nicole Danielle Young, CRNP
• Christine M Zador-Silverman, D.O.
• Ihor J Zalipsky, OD
• Sean Gregory Zarzatian, PT, DPT
• Shakhnoza Zaynieva

• Home Health Aide in Bristol, PA
• Providers in Bristol, PA by specialty
• Home Health Aide in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.