Ellen Young

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

251 S Main St
Colchester, CT 06415-1441

Phone

(860) 531-9426

NPI assigned

Jun 29, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Beginnings for Life, LLC

  • Case Manager/Care Coordinator
  • Salem, CT
  • NPI 1811862469
  NPD Authorized official

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1396230520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 SHAILOR HILL RD",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064152539",
            "telephone_number": "860-559-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 S MAIN ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151441",
            "telephone_number": "860-531-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26-1582926",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wildwood Wellness
• Charlene Ann Willax, RN
• Julie Danielle Willing, LCSW
• Kevin Neal Winicki, RPH
• Nicholas E. Wisniewski, O.D.
• Renee Young
• Martin H Zase, DMD
• Alice Teresa Zic, MPH, LCSW
• Rebecca Ziskind, LPC
• Lori A Zornado, LCSW

• In Home Supportive Care Agency in Colchester, CT
• Providers in Colchester, CT by specialty
• In Home Supportive Care Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.