Provider Demographics
NPI:1003229188
Name:M-Y HOME CARE LLC
Entity Type:Organization
Organization Name:M-Y HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:YERGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-924-7480
Mailing Address - Street 1:2842 45TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-2986
Mailing Address - Country:US
Mailing Address - Phone:219-924-7480
Mailing Address - Fax:219-922-8410
Practice Address - Street 1:2842 45TH ST STE C
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-2986
Practice Address - Country:US
Practice Address - Phone:219-924-7480
Practice Address - Fax:219-922-8410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care