MEDICARE: BACK TO BASICS YOUTH EDUCATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	343900000X	Non-emergency Medical Transport (VAN)
2	261QA0600X	Adult Day Care Clinic/Center
3	251C00000X	Developmentally Disabled Services Day Training Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497472211
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BACK TO BASICS YOUTH EDUCATION

Provider Business Mailing Address
First Line	:	1014 MERRYWOOD DR
Second Line	:
City	:	ENGLEWOOD
State	:	OH
Zip	:	45322-2445
Country	:	US
Telephone Number	:	937-248-5360
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 W 2ND ST STE 611
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45402-1657
Country	:	US
Telephone Number	:	937-248-5360
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	LAWRENCE LINDSEY
Credential	:
Telephone Number	:	937-248-5360

Provider Enumeration Date	:	10/24/2022
Last Update Date	:	01/26/2023

Similar Medicare Providers

1588531586 — JDS MEDICAL CABINET TRAINING AND HEALTHCARE SERVICES
Practice Location Address:

120 W 2ND ST STE 1100
DAYTON, OH
45402-1657

Practice Phone: 937-607-7044
Practice Fax:

1295943405 — MS. TAMIKA LYNETTE BROWN
Practice Location Address:

4047 MYRON AVE
DAYTON, OH
45416-1657

Practice Phone: 937-274-0022
Practice Fax: 937-274-0022

1821846593 — TRENN BROWN
Practice Location Address:

1657 PHILADELPHIA DR
DAYTON, OH
45406-4119

Practice Phone: 937-390-6356
Practice Fax:

1780560219 — ABOUTYOU PERSONAL CARE LLC
Practice Location Address:

40 W 2ND ST STE 200
DAYTON, OH
45402-1873

Practice Phone: 937-504-1448
Practice Fax:

1649136581 — MRS. MOLLY MARIE BROWN M.S.
Practice Location Address:

136 S LUDLOW ST
DAYTON, OH
45402-1813

Practice Phone: 937-542-3000
Practice Fax:

1962367904 — EMILY KATHLEEN LANKFORD PEER SUPPORT
Practice Location Address:

301 W 1ST ST STE 200
DAYTON, OH
45402-3026

Practice Phone: 513-228-6590
Practice Fax:

Directions to “BACK TO BASICS YOUTH EDUCATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.