Young Forever Enterprise LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

YOUNG FOREVER ENTERPRISE LLC

Practice address

2604 W Fond Du Lac Ave Ste G
Milwaukee, WI 53206-1020

Phone

(414) 499-9241

NPI assigned

Jul 11, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Marquis Young Sr.

Title

Ceo

Phone

(414) 499-9241

Specialties & licenses 1

Addresses

Tax ID family

Young Forever Enterprise LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Young Forever Enterprise LLC

  • Non-emergency Medical Transport (VAN)
  • Milwaukee, WI
  • NPI 1942065917
  NPD tax ID

Locations

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1689352304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 W GREENFIELD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532145001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 W FOND DU LAC AVE STE G",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532061020",
            "telephone_number": "414-499-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG FOREVER ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MARQUIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-499-9241",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael York, PHARMD
• Osamu Yoshino
• You to Love Prenatal Care Services LLC
• You'Re Her Supportive Care
• Marcel Youkhana, MD
• Young Forever Enterprise LLC
• Young Men'S Christian Association of Metropolitan Milwaukee, Inc.
• Young Visions Home Care Services LLC
• Caleb Samuel Young, APNP
• Courtney A Young, PA-C

• Land Ambulance in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.