Young-LD Squared Outpatient Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

YOUNG-LD SQUARED OUTPATIENT HEALTHCARE LLC

Practice address

673 N Highway 17
Palatka, FL 32177-8644

Phone

(386) 983-8488

NPI assigned

Nov 8, 2022

Last updated

Nov 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lashama Elijish-Young Dejesus, RNNPI 1265176739

Title

Registered Nurse/Ceo

Phone

(386) 983-8488

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lashama Elijah-Young Dejesus, RN

  • Registered Nurse
  • Palatka, FL
  • NPI 1265176739
  NPD Authorized official

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1609584705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 N HIGHWAY 17",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321778644",
            "telephone_number": "386-983-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 N HIGHWAY 17",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321778644",
            "telephone_number": "386-983-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG-LD SQUARED OUTPATIENT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "LASHAMA",
        "authorized_official_middle_name": "ELIJISH-YOUNG",
        "authorized_official_title_or_position": "REGISTERED NURSE/CEO",
        "authorized_official_telephone_number": "386-983-8488",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Scott Woods, PHARM.D.
• Melissa Sheffield Wrenn, LAC
• Jennifer Wright-Purifoy, EDS
• Darrel W Wyatt, MD
• Young Psychotherapy PLLC
• Jennifer Young, CRPS
• Hussein A.J. Zabad, M.D.

• Home Health Agency in Palatka, FL
• Providers in Palatka, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.