Forever Young Senior Care Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

FOREVER YOUNG SENIOR CARE CENTER

Doing business as

Fyscc

Practice address

1529 Dekalb Pike
Blue Bell, PA 19422-3349

Phone

(267) 303-3058

NPI assigned

May 17, 2013

Last updated

May 17, 2013By 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

Jason Mark Ferguson

Title

Executive Director

Phone

(484) 341-0496

Specialties & licenses 1

Addresses

Other names 1

• FYSCC 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.

• Erik J Simmons

  • Home Infusion Agency
  • Philadelphia, PA
  • NPI 1386309524
  NPD (past)

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1992141873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5623 N 11TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413607",
            "telephone_number": "267-303-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 DEKALB PIKE",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223349",
            "telephone_number": "267-303-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER YOUNG SENIOR CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "484-341-0496"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYSCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keira Fischetti
• John J Fitzgerald III, D.O.
• Hannah Flancer, RN, MSN
• Pamela Ann Flick, MD
• Matthew I Fogg, MD
• Lisa Meryl Forman, LSW
• Fornance Physician Services, Inc (Broad Axe Family Medicine)
• Fornance Physician Services, Inc
• Danielle Fox, MA, NCC, LPC
• Susan Fralick-Ball, PSYD, MSN

• Adult Day Care Clinic/Center in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Adult Day Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.