Provider Demographics
NPI:1225839848
Name:YOUNG, CASSIE
Entity type:Individual
Prefix:
First Name:CASSIE
Middle Name:
Last Name:YOUNG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:CASSIE
Other - Middle Name:
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5473 N TOWNSHIP ROAD 63 LOT 221
Mailing Address - Street 2:
Mailing Address - City:FOSTORIA
Mailing Address - State:OH
Mailing Address - Zip Code:44830-9304
Mailing Address - Country:US
Mailing Address - Phone:419-889-2027
Mailing Address - Fax:
Practice Address - Street 1:5473 N TOWNSHIP ROAD 63 LOT 410
Practice Address - Street 2:
Practice Address - City:FOSTORIA
Practice Address - State:OH
Practice Address - Zip Code:44830-9307
Practice Address - Country:US
Practice Address - Phone:419-619-5743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide