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C.C. Young Memorial Home

Community Based Hospice Care Agency in Dallas, TX · enumerated 2007 · authorized official Jennifer Broadway, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700083524

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Registry record

Entity type Organization (Type 2)
Legal business name C.C. Young Memorial Home
Other name <Unavail>
Parent organization C.C. Young Memorial Home
Practice address 4849 W Lawther Dr, Dallas, TX, 75214
Phone (214) 841-2825
Fax (214) 370-2830
Enumeration date Jun 27, 2007
Last updated in NPPES Mar 25, 2026

Taxonomy & classification

251G00000X Community Based Hospice Care Agency Agencies Primary
315D00000X Inpatient Hospice Nursing & Custodial Care Facilities · License 451790 (TX) Secondary

Authorized official

Name Jennifer Broadway
Title Administrator
Phone (214) 841-2825

Other identifiers

Identifier Type State Issuer
001013912 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is C.C. Young Memorial Home located?
The practice location on file with NPPES is in Dallas, TX.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-03-25. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-25.