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Contact Information

YOUNG HOMES
910 NORTH ITHACA AVE
RUSSELLVILLE, AR72801-4301
 Phone: 479-967-2322
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

NPI Profile & details for YOUNG HOMES

NPI Number 1831302108
LBN Legal business name YOUNG HOMES
Authorized official KARLA BOWDEN - (CHIEF ETHICS OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2007
Last updated 05/21/2026 - About 3 weeks ago
Identifiers
AR License # 444
AR Medicaid 109360213
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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