Youniversal Residential Care, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

YOUNIVERSAL RESIDENTIAL CARE, LLC

Practice address

809 Live Oak Dr Ste 27
Chesapeake, VA 23320-2600

Phone

(757) 904-1119

Fax

(757) 299-7836

NPI assigned

Jan 5, 2024

Organization subpart

No

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

Authorized official

Name

Iesha Andrews, RN

Title

Ceo

Phone

(757) 237-1098

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1710757208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 LIVE OAK DR STE 27",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202600",
            "telephone_number": "757-904-1119",
            "fax_number": "757-299-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 LIVE OAK DR STE 27",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202600",
            "telephone_number": "757-904-1119",
            "fax_number": "757-299-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNIVERSAL RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "IESHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-237-1098",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Elizabeth Young, MS
• Kimberly Young
• Miranda Alexis Young
• Taylor Zhane Young
• Youniversal Healthcare, LLC
• Your Way Therapy
• Natalie Zabelka, WHNP
• Zachary J Migioia
• Aaron Zadai, PA-C
• Ather Zafar, M.D.

• Mental Illness Community Based Residential Treatment Facility in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Mental Illness Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.