Individual provider Active NPI

Beryl Hazel Younkin

  • Home Health Aide
  • Cleveland Heights, OH
National Provider Identifier
1508468489
Registry record updated Nov 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
3272 E Fairfax Rd
Cleveland Heights, OH 44118-4206
Phone
(612) 750-3711
NPI assigned
Nov 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

3272 E Fairfax Rd
Cleveland Heights, OH 44118-4206

Mailing address

3272 E Fairfax Rd
Cleveland Heights, OH 44118-4206
Phone (612) 750-3711

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

NPI Registry JSON

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

{
    "created_epoch": "1605312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1508468489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 E FAIRFAX RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441184206",
            "telephone_number": "612-750-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 E FAIRFAX RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441184206",
            "telephone_number": "612-750-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNKIN",
        "first_name": "BERYL",
        "middle_name": "HAZEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-14",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.