MEDICARE: CASSIE 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	376K00000X	Nurse's Aide		OH

General Provider Information

NPI Number	:	1225839848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSIE YOUNG

Provider Business Mailing Address
First Line	:	5473 N TOWNSHIP ROAD 63 LOT 106
Second Line	:
City	:	FOSTORIA
State	:	OH
Zip	:	44830-9302
Country	:	US
Telephone Number	:	419-889-2027
Fax Number	:

Provider Business Practice Location Address
First Line	:	5473 N TOWNSHIP ROAD 63 LOT 410
Second Line	:
City	:	FOSTORIA
State	:	OH
Zip	:	44830-9307
Country	:	US
Telephone Number	:	419-619-5743
Fax Number	:

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

Provider Enumeration Date	:	03/20/2025
Last Update Date	:	05/13/2026

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Directions to “ CASSIE YOUNG ” Practice Location

Language	Start Address	Practice Location

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