Provider Demographics
NPI:1942668587
Name:B. FOREVER YOUNG HOMECARE
Entity Type:Organization
Organization Name:B. FOREVER YOUNG HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANNY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1877-226-5452
Mailing Address - Street 1:2245 FLORIN RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-4401
Mailing Address - Country:US
Mailing Address - Phone:877-226-5452
Mailing Address - Fax:
Practice Address - Street 1:2245 FLORIN RD
Practice Address - Street 2:SUITE 7
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-4401
Practice Address - Country:US
Practice Address - Phone:877-226-5452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-10
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle