Wesley Young Jr.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1707 E Citation LN
Tempe, AZ 85284-1606

Phone

(480) 999-0293

Fax

(833) 286-8210

NPI assigned

Dec 16, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heaven Care LLC

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Mesa, AZ
  • NPI 1194297838

  Attendant Care Provider

  NPD Authorized official
• Heaven Care Residential LLC

  • Assisted Living Facility
  • Tempe, AZ
  • NPI 1831886340

  Attendant Care Provider

  NPD Authorized official

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1972215374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 E CITATION LN",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841606",
            "telephone_number": "480-999-0293",
            "fax_number": "833-286-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 E CITATION LN",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841606",
            "telephone_number": "480-999-0293",
            "fax_number": "833-286-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "WESLEY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-16",
        "last_updated": "2023-04-24",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92-1343226",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "careheaven9@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1707 E Citation Ln",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852841606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristopher Thomas Young, FNP-BC
• Lyle Young, MD
• Rocio Young, RBT
• Shawn David Young, DMD
• Susan Young, DPM
• Tarek Hafez Youssef, MD
• Youth World Education Project, Inc
• Qianli Yu
• Ambar Yudell, RD
• Nina Zabalza, FNP

• Personal Care Attendant in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Personal Care Attendant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.