Provider Demographics
NPI:1528886322
Name:YAHWEHS YOUTH
Entity type:Organization
Organization Name:YAHWEHS YOUTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANEISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH-MAGAMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-691-1618
Mailing Address - Street 1:26 THOMASTON DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-1406
Mailing Address - Country:US
Mailing Address - Phone:814-691-1618
Mailing Address - Fax:
Practice Address - Street 1:26 THOMASTON DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-1406
Practice Address - Country:US
Practice Address - Phone:814-691-1618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No174200000XOther Service ProvidersMeals
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle