Active NPI
Youngstown Al-MC, LLC
- Assisted Living Facility
- Youngstown, OH
National Provider Identifier
1396593273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- YOUNGSTOWN AL-MC, LLC
- Doing business as
- The Addison of Cornersburg
- Practice address
- 2300 Canfield Rd
Youngstown, OH 44511-2980 - Phone
- (330) 792-0433
- NPI assigned
- May 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Levy
- Title
- Agent for Owner
- Phone
- (312) 673-4387
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2300 Canfield Rd
Youngstown, OH 44511-2980
Mailing address
2300 Canfield Rd
Youngstown, OH 44511-2980
Phone (330) 792-0433
Other names 1
- The Addison of Cornersburg
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0971938 | Addison of Cornersburg, the | Certificate of waiver | Mar 26, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715040000000",
"number": "1396593273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 CANFIELD RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445112980",
"telephone_number": "330-792-0433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 CANFIELD RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445112980",
"telephone_number": "330-792-0433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNGSTOWN AL-MC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-07",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A",
"authorized_official_last_name": "LEVY",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "AGENT FOR OWNER",
"authorized_official_telephone_number": "312-673-4387"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Addison of Cornersburg",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Youngstown, OH
- Taneisha Young
- Bryant Youngblood
- Brittany Youngs, LPN
- Jordan E Youngs
- Youngstown Academy of Excellence
- Youngstown Area Jewish Federation
- Youngstown Area Jewish Federation
- Youngstown Associates in Radiology
- Youngstown Associates in Radiology Inc
- Youngstown Behavioral Health Hospital Physician Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.