Organization Active NPI

Ambrose Young in Home Non-Medical Services Dba Comforcare

  • In Home Supportive Care Agency
  • Randallstown, MD
National Provider Identifier
1598076549
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
R2794 Issued in MD
Legal business name
AMBROSE YOUNG IN HOME NON-MEDICAL SERVICES DBA COMFORCARE
Practice address
9932 Liberty Rd
Randallstown, MD 21133-1804
Phone
(410) 922-6262
Fax
(410) 922-8181
NPI assigned
Jun 24, 2010
Last updated
Jun 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Mrs. Jenette Young
Title
President
Phone
(419) 922-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X R2794 MD Primary

Addresses

Primary practice location

9932 Liberty Rd
Randallstown, MD 21133-1804

Mailing address

9932 Liberty Rd
Randallstown, MD 21133-1804
Phone (410) 922-6262

National Provider Directory

National Provider Directory

Locations

9932 Liberty Rd
Randallstown, MD 21133
Phone (410) 922-6262

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1598076549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9932 LIBERTY RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331804",
            "telephone_number": "410-922-6262",
            "fax_number": "410-922-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9932 LIBERTY RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211331804",
            "telephone_number": "410-922-6262",
            "fax_number": "410-922-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBROSE YOUNG IN HOME NON-MEDICAL SERVICES DBA COMFORCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JENETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-922-6262",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "R2794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.