Ymoa Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

YMOA INC

Doing business as

Young Mothers of America

Practice address

916 W Coliseum Blvd Ste G
Fort Wayne, IN 46808-1291

Phone

(571) 298-7618

NPI assigned

Apr 12, 2024

Last updated

Apr 12, 2024By 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. Tasha Nicole Davis, DOULANPI 1013761527

Title

Founder / Ceo

Phone

(571) 298-7618

Specialties & licenses 5

Addresses

Other names 1

• Young Mothers of America Doing business as

Locations

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.

• Tasha Nicole Davis, DOULA

  • Doula
  • Fort Wayne, IN
  • NPI 1013761527
  NPD Authorized official

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1871347385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9823 EBYWOOD LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468359742",
            "telephone_number": "571-298-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 W COLISEUM BLVD STE G",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468081291",
            "telephone_number": "571-298-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMOA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "FOUNDER / CEO",
        "authorized_official_telephone_number": "571-298-7618",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DOULA"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young Mothers of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Archana Yennu, PT, DPT
• Nicholas Allan Yergens, LMHC
• Sarah Yergler
• Kenneth Scott Yew, MD
• Cassidy Capri Yingst, SLP
• Jeffrey A Yngstrom, M.D.
• Brian M. Yochim, PA-C
• Aaron Yoder
• Alyce S Yoder, R.D., C.D.
• Amy D Yoder, CCC-SLP

• Voluntary or Charitable Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Voluntary or Charitable Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.