Provider Demographics
NPI:1467663708
Name:YOUNGTOWN HEALTH, INC.
Entity Type:Organization
Organization Name:YOUNGTOWN HEALTH, INC.
Other - Org Name:SUNVIEW HEALTH AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:SOON
Authorized Official - Middle Name:E
Authorized Official - Last Name:BURNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-540-1249
Mailing Address - Street 1:12207 N 113TH AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGTOWN
Mailing Address - State:AZ
Mailing Address - Zip Code:85363-1208
Mailing Address - Country:US
Mailing Address - Phone:623-977-6532
Mailing Address - Fax:623-977-6541
Practice Address - Street 1:12207 N 113TH AVE
Practice Address - Street 2:
Practice Address - City:YOUNGTOWN
Practice Address - State:AZ
Practice Address - Zip Code:85363-1208
Practice Address - Country:US
Practice Address - Phone:623-977-6532
Practice Address - Fax:623-977-6541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA555136Medicare Oscar/Certification
AZ035245Medicare Oscar/Certification