Jimmy Dewayne Young
Nurse's Aide in Bedford, OH. Individual provider (NPI-1).
NPI number1821482563
StatusActive
Last updated in NPPESMar 19, 2015
Details
- NPI
- 1821482563
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jimmy Dewayne Young
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2015
- Last updated
- Mar 19, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | – | – | Yes |
Practice location
466 Northfield Rd Ste Ll1Bedford, OH 44146-2289
Phone 440-232-1330
Mailing address
10616 Woodland Ave # BCleveland, OH 44104-2436
Phone 216-924-3071
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Nurse's Aide providers in Bedford · All 589 providers in Bedford
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