Provider Demographics
NPI:1033843321
Name:YC HOMECARE
Entity Type:Organization
Organization Name:YC HOMECARE
Other - Org Name:SYNERGYHOMECARE OF WEST KNOXVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINSTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:COFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-474-9304
Mailing Address - Street 1:6716 CENTRAL AVENUE PIKE STE 7
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37912-1434
Mailing Address - Country:US
Mailing Address - Phone:865-474-9304
Mailing Address - Fax:865-326-4005
Practice Address - Street 1:6716 CENTRAL AVENUE PIKE STE 7
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37912-1434
Practice Address - Country:US
Practice Address - Phone:865-474-9304
Practice Address - Fax:865-326-4005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-12
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care