Provider Demographics
NPI:1679159842
Name:ALWAYS YOUNG AT HEART LLC
Entity type:Organization
Organization Name:ALWAYS YOUNG AT HEART LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABI-HABIB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-572-0272
Mailing Address - Street 1:1350 N GREENVILLE AVE APT 6428
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-3064
Mailing Address - Country:US
Mailing Address - Phone:469-427-1938
Mailing Address - Fax:214-975-2297
Practice Address - Street 1:719 UNIVERSITY PL
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4544
Practice Address - Country:US
Practice Address - Phone:914-572-0272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-19
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care