Young Homes

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

444 Issued in AR

Legal business name

YOUNG HOMES

Practice address

910 North Ithaca Ave
Russellville, AR 72801-4301

Phone

(479) 967-2322

NPI assigned

May 7, 2007

Last updated

May 21, 2026By 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

Karla Bowden

Title

Chief Ethics Officer

Phone

(479) 967-2322

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Kathleen Baker, LPN

  • Licensed Practical Nurse
  • Russellville, AR
  • NPI 1548149305
  NPD (past)
• Douglas Pehrson

  • Registered Nurse
  • Russellville, AR
  • NPI 1538048384
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1831302108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2109",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72811",
            "telephone_number": "479-967-2322",
            "fax_number": "479-763-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NORTH ITHACA AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728014301",
            "telephone_number": "479-967-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "CHIEF ETHICS OFFICER",
        "authorized_official_telephone_number": "479-967-2322"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "AR",
            "license": "444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109360213",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyndale Yancey
• Hannah Jordan Yandell
• Jeffrey K Yates, DO
• Tanner Leigh Yates
• Courtney Yokota
• Allison Young, P.T.
• Jennifer Lynn Young, DDS
• Jonathan Young, RECOVERY ASSISTANT
• Patti 'Suzy' Suzanne Young
• Penny Young

• Intellectual Disabilities Intermediate Care Facility in Russellville, AR
• Providers in Russellville, AR by specialty
• Intellectual Disabilities Intermediate Care Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.