Provider Demographics
NPI:1972496222
Name:YOUNGBLOOD, ANTHONY LEE III
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:LEE
Last Name:YOUNGBLOOD
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3096 HARRY LEE LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-4139
Mailing Address - Country:US
Mailing Address - Phone:513-909-5489
Mailing Address - Fax:513-909-5489
Practice Address - Street 1:3096 HARRY LEE LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-4139
Practice Address - Country:US
Practice Address - Phone:513-883-9747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker