Organization Active NPI

Youngs Healthcare Senior Center

  • Adult Day Care Clinic/Center
  • Annandale, VA
National Provider Identifier
1912352592
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
YOUNGS HEALTHCARE SENIOR CENTER
Practice address
4215 Evergreen LN
Annandale, VA 22003-3210
Phone
(703) 988-2044
NPI assigned
May 2, 2016
Last updated
May 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Young S Lee
Title
President
Phone
(703) 628-2175

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary
Non-emergency Medical Transport (VAN) 343900000X NU

Addresses

Primary practice location

4215 Evergreen LN
Annandale, VA 22003-3210

Mailing address

4215 Evergreen LN
Annandale, VA 22003-3210
Phone (703) 988-2044

National Provider Directory

National Provider Directory
Tax ID family
Youngs Healthcare Senior Center2 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.

Locations

4215 Evergreen Ln
Annandale, VA 22003
Phone (703) 649-4271

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1912352592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 EVERGREEN LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033210",
            "telephone_number": "703-988-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 EVERGREEN LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033210",
            "telephone_number": "703-988-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGS HEALTHCARE SENIOR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-628-2175"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.