NPIMap

Organization Active NPI

Young at Heart Resources

  • Voluntary or Charitable Agency
  • Albany, MO
National Provider Identifier
1306977756
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
288100605 Issued in MO
Legal business name
YOUNG AT HEART RESOURCES
Practice address
809 N 13TH St
Albany, MO 64402-2035
Phone
(660) 240-9400
Fax
(660) 726-4113
NPI assigned
Mar 8, 2007
Last updated
Dec 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Michael Stopka
Title
Ceo
Phone
(660) 240-9400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 288100605 MO Primary
Voluntary or Charitable Agency 251V00000X NU

Addresses

Primary practice location

809 N 13TH St
Albany, MO 64402-2035

Mailing address

PO Box 265
Albany, MO 64402-0265
Phone (660) 726-3800

National Provider Directory

National Provider Directory
Tax ID family
Northwest Missouri Area Agency on Aging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

211 S Polk St
Albany, MO 64402

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1306977756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "ALBANY",
            "state": "MO",
            "postal_code": "644020265",
            "telephone_number": "660-726-3800",
            "fax_number": "660-726-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N 13TH ST",
            "city": "ALBANY",
            "state": "MO",
            "postal_code": "644022035",
            "telephone_number": "660-240-9400",
            "fax_number": "660-726-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG AT HEART RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "STOPKA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "660-240-9400"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MO",
            "license": "288100605",
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.