# MERCY HEALTH YOUNGSTOWN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Health Home Care Youngstown
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033209721
- **Authorized official:** MR. ANTHONY SEMINARO (CFO YOUNGSTOWN)
- **Authorized official phone:** (330) 480-6063

## Contact information

- **Practice address:** 979 TIBBETTS WICK RD, SUITE A, GIRARD, OH 44420-1182
- **Practice address phone:** (330) 480-3776
- **Practice address fax:** (330) 480-4584
- **Mailing address:** PO BOX 207, YOUNGSTOWN, OH 44501-0207
- **Mailing address phone:** (330) 480-3776
- **Mailing address fax:** (330) 480-4584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 367518 | OH | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 08/28/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0927199 | — | OH |
| 01 | — | HUD369481 | MEDICARE PART B PROVIDER \# | — |