C C Young Memorial Home

LBN: C C Young Memorial Home
C C Young Memorial Home is an health care organization with primary practice located at 4849 W Lawther Dr , Dallas TX 75214-1879. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. C C Young Memorial Home can be contacted via phone (214) 827-8080, or through Thomas, Catherine Anne via phone (214) 841-2825.

Contact Information

Primary practice address
4849 W Lawther Dr Dallas TX 75214-1879
Phone: (214) 827-8080
Fax: (214) 370-2830
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Catherine Anne Registered Nurse (RN)
Phone: (214) 841-2825

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 110990 Texas

Profile Details

NPI number 1043205479
LBN Legal business name C C Young Memorial Home
DBA Doing business as
Authorized official Thomas, Catherine Anne Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2005
Last updated Apr 4th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043205479 NPPES
Texas MEDICAID 000464001

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