MEDICARE: DONSHAY LEANDA 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	253Z00000X	In Home Supportive Care Agency	2012027457	MO

General Provider Information

NPI Number	:	1336082304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONSHAY LEANDA YOUNG

Provider Business Mailing Address
First Line	:	7058 W FLORISSANT AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-2561
Country	:	US
Telephone Number	:	314-496-5666
Fax Number	:

Provider Business Practice Location Address
First Line	:	7058 W FLORISSANT AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-2561
Country	:	US
Telephone Number	:	314-496-5666
Fax Number	:

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

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ DONSHAY LEANDA YOUNG ” Practice Location

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