Provider Demographics
NPI:1568477347
Name:YOUNG ADULT INSTITUTE, INC.
Entity Type:Organization
Organization Name:YOUNG ADULT INSTITUTE, INC.
Other - Org Name:YOUNG ADULT INSTITUTE HOME HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-273-6100
Mailing Address - Street 1:460 W 34TH ST
Mailing Address - Street 2:FL 11
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-2382
Mailing Address - Country:US
Mailing Address - Phone:212-273-6100
Mailing Address - Fax:
Practice Address - Street 1:460 W 34TH ST
Practice Address - Street 2:FL 11
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2382
Practice Address - Country:US
Practice Address - Phone:212-273-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YOUNG ADULT INSTITUTE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-30
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7002650251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01525511Medicaid
NY01525511Medicaid