C C Young Memorial Home in Dallas - Skilled Nursing Facility
C C Young Memorial Home - NPI 1043205479
C C Young Memorial Home is a Skilled Nursing Facility in Dallas, Texas. C C Young Memorial Home practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for C C Young Memorial Home is 1043205479. The last update date is 2022-04-04.
C C Young Memorial Home's current location address is 4847 W Lawther Dr, Dallas, Texas. You can contact this provider via phone number 2148278080 and fax number 2148412890. The mailing address for C C Young Memorial Home is 4847 W Lawther Dr, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | C C Young Memorial Home |
|---|---|
| Address | 4847 W Lawther Dr, Dallas, Texas |
| Phone Number | 2148278080 |
| Fax Number | 2148412890 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMIN |
|---|---|
| Authorized Official Name | Thomas Anne Catherine |
| Credentials | RN |
| Telephone Number | 2148412825 |
NPI Number Detail
| NPI Number | 1043205479 |
|---|---|
| Provider Enumeration Date | 2005-09-12 |
| Last Updated Date | 2022-04-04 |
Provider Mailing Address Detail
| Address | 4847 W Lawther Dr |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752141853 |
| Phone Number | 2148278080 |
| Fax Number | 2148412890 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 110990 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 464001 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to C C Young Memorial Home by the Centers for Medicare & Medicaid Services?
The C C Young Memorial Home has been assigned the NPI (National Provider Identifier) 1043205479 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where C C Young Memorial Home's facilities are geographically located?
The facilities of C C Young Memorial Home are physically situated at the following location: 4847 W Lawther Dr, Dallas, TX, 752141853.
What is C C Young Memorial Home's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for C C Young Memorial Home is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.
When was the C C Young Memorial Home's 1043205479 issued?
The C C Young Memorial Home's 1043205479 was issued on 2005-09-12.
As of what date was the information regarding C C Young Memorial Home, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to C C Young Memorial Home, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-04-04.