MEDICARE: TINNIE JIMMIA YOUNG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	RP211358	OH
2	374U00000X	Home Health Aide		OH

General Provider Information

NPI Number	:	1447738505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TINNIE JIMMIA YOUNG

Provider Business Mailing Address
First Line	:	2517 AIRY CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45239-6559
Country	:	US
Telephone Number	:	704-277-7036
Fax Number	:

Provider Business Practice Location Address
First Line	:	2517 AIRY CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45239-6559
Country	:	US
Telephone Number	:	704-277-7036
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2018
Last Update Date	:	10/06/2025

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