MEDICARE: YAHWEHS YOUTH, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	251E00000X	Home Health Agency
3	253Z00000X	In Home Supportive Care Agency
4	347C00000X	Private Vehicle
5	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1528886322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YAHWEHS YOUTH, LLC

Provider Business Mailing Address
First Line	:	26 THOMASTON DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-1406
Country	:	US
Telephone Number	:	814-691-1618
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 THOMASTON DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-1406
Country	:	US
Telephone Number	:	814-691-1618
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHANEISA SMITH-MAGAMBO
Credential	:
Telephone Number	:	814-691-1618

Provider Enumeration Date	:	09/30/2024
Last Update Date	:	12/27/2025

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Directions to “YAHWEHS YOUTH, LLC ” Practice Location

Language	Start Address	Practice Location

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