Younger Group Home, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

1477-8422 Issued in MO

Legal business name

YOUNGER GROUP HOME, INC.

Practice address

1220 E 2ND St
Maryville, MO 64468-1929

Phone

(660) 582-5853

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Bernetta Lee Younger, RN

Title

Executive Director

Phone

(660) 582-5853

Specialties & licenses 1

Addresses

Tax ID family

Younger Group Home Inc2 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.

• Younger Group Home, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Maryville, MO
  • NPI 1558414698
  NPD tax ID

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881748671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 E 1ST ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644681916",
            "telephone_number": "660-582-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 2ND ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644681929",
            "telephone_number": "660-582-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGER GROUP HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNGER",
        "authorized_official_first_name": "BERNETTA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "16605825853",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "1477-8422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Alitz Wittmann, OD
• Logan Michael Wood, ATC, LAT
• Michael J Wurm, MD
• Erin Elizabeth York, ATC, LAT
• Younger Group Home, Inc
• Makabis Yousefpour, DPM

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maryville, MO
• Providers in Maryville, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.