Active NPI
Patrice Norene Younger, STNA
- Home Health Aide
- Bedford HTS, OH
National Provider Identifier
1508207739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 401545560713
- Practice address
- 22085 Libby Rd
Apt# 102a
Bedford HTS, OH 44146-6824 - Phone
- (216) 205-0364
- NPI assigned
- Jul 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 401545560713 | OH | Primary |
Addresses
Primary practice location
22085 Libby Rd
Apt# 102a
Bedford HTS, OH 44146-6824
Mailing address
22085 Libby Rd
Apt# 102a
Bedford HTS., OH 44146
Phone (216) 205-0364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 401545560713 | Other | OH | STNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 401545560713 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1508207739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22085 LIBBY RD",
"address_2": "APT# 102A",
"city": "BEDFORD HTS.",
"state": "OH",
"postal_code": "44146",
"telephone_number": "216-205-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22085 LIBBY RD",
"address_2": "APT# 102A",
"city": "BEDFORD HTS",
"state": "OH",
"postal_code": "441466824",
"telephone_number": "216-205-0364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNGER",
"first_name": "PATRICE",
"middle_name": "NORENE",
"name_prefix": "Mrs.",
"credential": "STNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-16",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "401545560713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STNA",
"identifier": "401545560713",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.