U1St Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

U1ST FOUNDATION

Practice address

3118 Williamsburg St NW
Warren, OH 44485-2255

Phone

(330) 647-9792

NPI assigned

Dec 11, 2025

Organization subpart

No

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

Authorized official

Name

Ebonie Bourgoin

Title

Founder

Phone

(330) 647-9792

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1962366104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 WILLIAMSBURG ST NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444852255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 WILLIAMSBURG ST NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444852255",
            "telephone_number": "330-647-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U1ST FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "BOURGOIN",
        "authorized_official_first_name": "EBONIE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "330-647-9792"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Michael Tuttle
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• Tiffany Tye
• Gaye Tyhosky, RN
• U1St
• John David Ulam, PT
• Kimberly Lynn Underwood, PA-C
• Mattie Vail, L.P.N.
• Alexis Valentino, CNP
• Elizabeth Vallas, PHARMD

• Community/Behavioral Health Agency in Warren, OH
• Providers in Warren, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.