YOUNG COMMUNITY MEDICAL CARE PLLC
NPI 1164239471
Nurse Practitioner - Family in Louisville, KY
About Young Community Medical Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YOUNG COMMUNITY MEDICAL CARE PLLC (NPI 1164239471), doing business as Young Community Medical Care, is a healthcare organization registered as a family in Louisville, Kentucky and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Jacque Young, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 18D2318159
Young Community Medical Care PLLC · Louisville, KYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Young Community Medical Care PLLC's NPI number?
The NPI number for Young Community Medical Care PLLC is 1164239471. It was assigned to this organization in the NPPES registry on December 11, 2024. The provider is doing business as Young Community Medical Care.
Where is Young Community Medical Care PLLC located?
Young Community Medical Care PLLC is located at 2200 Greene Way, Louisville, KY 40220. The listed phone number is (502) 644-4068.
What is Young Community Medical Care PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Young Community Medical Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2318159) is associated with this NPI, valid through February 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Young Community Medical Care PLLC was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Young Community Medical Care Pllc · NPI 1164239471
Family organization in Louisville, Kentucky. Organization record, active in the CMS NPPES registry since December 11, 2024.
## Identity
- **NPI:** 1164239471 (Entity type: Organization)
- **Enumerated:** December 11, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Young Community Medical Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jacque Young, OWNER
## Practice location
- **Address:** 2200 GREENE WAY, Louisville, KY 40220-4026
- **Phone:** (502) 644-4068 · **Fax:** (888) 772-4611
## Record status
- **NPPES last updated:** December 11, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164239471) · Data from the CMS NPPES public registry.