Provider Demographics
NPI:1164722237
Name:YOUNGS HEALTHCARE INC.
Entity Type:Organization
Organization Name:YOUNGS HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOUNG
Authorized Official - Middle Name:SHIN
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-628-2175
Mailing Address - Street 1:4215 EVERGREEN LN
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3210
Mailing Address - Country:US
Mailing Address - Phone:703-649-4271
Mailing Address - Fax:877-628-2718
Practice Address - Street 1:7018 EVERGREEN CT STE 5A
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3271
Practice Address - Country:US
Practice Address - Phone:703-649-4271
Practice Address - Fax:877-628-2718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-23
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-11695251E00000X, 251F00000X, 251J00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care