MR. JEFFREY JOE YOUNG (NPI# 1275069478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275069478 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY JOE YOUNG |
| Practice Address |
2129 Green Lee Lane Dickinson TX 77539-5152 |
| Mailing Address |
2202 Timber Dr. Dickinson TX 77539-5152 |
| Practice Telephone | 9723087450 |
| Mailing Telephone | 9723087450 |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2017-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043784291 | Jeffrey E Young | Pharmacist | 1095 Tamiami Trl N Ste B, Nokomis, FL 34275-2117 | 2019-01-21 |
| 1356811392 | Jeffrey Allen Young | Chiropractor | 4266 Cottage Hill Rd, Ste 4, Mobile, AL 36609-4277 | 2018-12-03 |
| 1770883449 | Jeffrey Ogden Young | Technician/Technologist | 34 Margaret Dr, Roosevelt, NY 11575-1535 | 2010-10-28 |
| 1881878940 | Jeffrey Alan Young | Technician, Other | 300 North Fill Pier, Commanding Officer, Cordova, AK 99574-0300 | 2007-12-26 |
| 1578742755 | Jeffrey A Young | Dentist | 29001 Cedar Rd Ste 660, Lyndhurst, OH 44124-4041 | 2007-10-24 |
| 1760519045 | Jeffrey A Young | Chiropractor | 17425 Stuebner Airline Rd Ste C, Spring, TX 77379-3708 | 2007-02-27 |
| 1578609681 | Jeffrey Scott Young | Social Worker | 6539 Anthony Dr Ste A, Victor, NY 14564-1400 | 2007-01-29 |
| 1659470763 | Jeffrey Stephen Young | Ophthalmology | W180 N8000 Town Hall Road, Menomonee Falls, WI 53051 | 2006-09-22 |
| 1477561207 | Jeffrey A. Young | Radiology | 111 Greely Rd, Cumberland, ME 04021-3800 | 2006-08-04 |
| 1205879764 | Jeffrey W Young | Nurse Practitioner | 210 N Liberty St, Jackson, TN 38301-6222 | 2006-06-13 |
| Street Address |
2129 GREEN LEE LANE |
| City | DICKINSON |
| State | TX |
| Zip Code | 77539-5152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154940351 | Sushkap Dental Pllc | Dentist | 3448 Gulf Fwy., Dickinson, TX 77539 | 2020-04-09 |
| 1912567108 | Doves Home Care Agency, LLC | Home Health | 1124 Oak Hollow Dr, Dickinson, TX 77539 | 2019-06-19 |
| 1245718469 | Divine Csrd, LLC | Occupational Therapist | 608 Farm To Market Road 517 West, Dickinson, TX 77539 | 2018-07-31 |
| 1912491515 | Montoya Wilturner | Behavior Technician | 3001 Avenue B, Dickinson, TX 77539 | 2018-06-18 |
| 1528556370 | Taurus T, Pllc | Internal Medicine | 1621 Fm 517 Rd E, Dickinson, TX 77539 | 2018-04-27 |
| 1720504111 | Southwest Wellness Solutions | Physical Therapist | 608 Fm 517 Rd W, Dickinson, TX 77539 | 2017-08-17 |
| 1578013025 | Joie Hawkins Brownlee | Registered Nurse | 1804 Fm 646 Rd W Ste J, Dickinson, TX 77539 | 2016-10-08 |
| 1942668058 | Kelly Engle | Registered Nurse | 3828 Hughes Ct #104, Utmb Rmchp, Dickinson, TX 77539 | 2016-02-03 |
| 1356715122 | Quynh Le | Pharmacist | 3014 N Meadow Ln, Dickinson, TX 77539 | 2015-11-17 |
| 1144639311 | Jennifer Lee Warwick | Physician Assistant | 680 Fm 517 Road West, Dickinson, TX 77539 | 2014-08-12 |
| Find all providers in zip 77539 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689212961 | Gregory Wayne Mcafee Jr. | PACE Provider Organization | 7216 Mallard Dr, Texas City, TX 77591-3616 | 2019-12-17 |
| 1720559289 | Sweet Care Home Care Providers LLC | PACE Provider Organization | 7917 Sunmount Dr, El Paso, TX 79925 | 2018-12-10 |
| 1700373966 | Nathalia White Shanetta White | PACE Provider Organization | 240 W Galveston St Unit 417, League City, TX 77574-0849 | 2018-04-13 |
| 1942717012 | Wayfinders Day Habilitations & Respite Care | PACE Provider Organization | 4611 W Walnut St, Pearland, TX 77581-3967 | 2018-01-10 |
| 1154833184 | Operation Advantage Inc. | PACE Provider Organization | 2747 Point Vw, Cedar Hill, TX 75104-6936 | 2017-10-31 |
| 1417308966 | Good Grace Provider Service | PACE Provider Organization | 15155 Richmond Ave Apt 833, Houston, TX 77082-1637 | 2016-06-27 |
| 1174971865 | Genuine Queens Jcl Care | PACE Provider Organization | 3730 S Loop 1604 E, San Antonio, TX 78264-9551 | 2016-06-03 |
| 1184072118 | Philia Interpreting Agency | PACE Provider Organization | 701 Mesquite St, Abilene, TX 79601-5220 | 2016-05-31 |
| 1710331913 | Heritage Developmental Care LLC | PACE Provider Organization | 9465 Clearwood Dr, Apt 324, Houston, TX 77075-4059 | 2016-04-14 |
| 1821465204 | Affordable Venture Home Healthcare LLC | PACE Provider Organization | 8626 Tesoro Dr Ste 205g, San Antonio, TX 78217-6217 | 2015-09-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.