OrganizationHealthy YouFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address9700 N 91st St Ste A115, Scottsdale, AZ 85258-5036(480) 770-3967(872) 212-7966PECOS EnrollmentBased on the most recent information from CMS, provider Healthy You does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1407472467Provider TypeOrganizationFull NameHealthy YouSubpartNoEnumeration Date6/24/2020Last Updated7/8/2020Contact InformationPractice LocationPractice Address9700 N 91st St Ste A115, Scottsdale, AZ 85258-5036Phone(480) 770-3967FaxUnlisted FaxMailing LocationMailing Address1441 E Germann Rd Apt 3091, Chandler, AZ 85286-1825Phone(872) 212-7966Fax(602) 888-8540Authorized OfficialNameDominique, Omar L. (Owner/President)Phone(872) 212-7966Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID02887009DescriptionMedicaidIssuerUnlistedMississippiID1770996050DescriptionOtherIssuerNPIMississippi