Youth Mobile LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

YOUTH MOBILE LLC

Doing business as

Youth Mobile Transportation

Practice address

1070 Iris Dr SW
Conyers, GA 30094-5901

Phone

(404) 401-9885

NPI assigned

Sep 24, 2024

Organization subpart

No

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

Authorized official

Name

Charline C Dominguez, CEO

Title

Owner/Director

Phone

(404) 401-9885

Specialties & licenses 1

Addresses

Other names 1

• YOUTH MOBILE TRANSPORTATION Doing business as

Locations

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1861219529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 IRIS DR SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945901",
            "telephone_number": "404-401-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 IRIS DR SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945901",
            "telephone_number": "404-401-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH MOBILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "CHARLINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "404-401-9885",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YOUTH MOBILE TRANSPORTATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Deborah Young-Smith, CNA
• Bradley Young, PHARM.D.
• Erika Young, LPC
• Stephen Michael Young, DPT
• Yourchoice Care
• Lauren Marie Zauche, PHD, CPNP-PC
• Meg Zeringue, P.A.
• Nyasia Shanay Zimmerman

• Non-emergency Medical Transport (VAN) in Conyers, GA
• Providers in Conyers, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

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