Young at Heart Adult Daycare LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

ME68942 Issued in FL

Legal business name

YOUNG AT HEART ADULT DAYCARE LLC

Practice address

3801 N University Dr
Suite #505
Sunrise, FL 33351-6332

Phone

(954) 748-1151

Fax

(954) 414-1213

NPI assigned

Jun 7, 2016

Organization subpart

No

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

Authorized official

Name

Phillip Cummings, M.D.

Title

Center Operator

Phone

(954) 562-9527

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1285083659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 N UNIVERSITY DR",
            "address_2": "SUITE #505",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516332",
            "telephone_number": "954-748-1151",
            "fax_number": "954-414-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N UNIVERSITY DR",
            "address_2": "SUITE #505",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516332",
            "telephone_number": "954-748-1151",
            "fax_number": "954-414-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG AT HEART ADULT DAYCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CENTER OPERATOR",
        "authorized_official_telephone_number": "954-562-9527",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "ME68942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel J. Yankelove, M.D.
• Julie Yap, RN
• Douglas R. Yarnold, CRNA
• Jillian Rose Yaw Ching
• Jungbin Yoon
• Stephanie Dawn Young-Azan, M.D.
• Elizabeth Jane Young
• Youngs Cleaning Services Inc
• Konstant Yu, PHARMD
• Dunia Zaguirre Herrera, BCBA

• Adult Day Care Clinic/Center in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.