Provider Demographics
NPI:1134320609
Name:YUMA SENIOR CARE, LLC
Entity Type:Organization
Organization Name:YUMA SENIOR CARE, LLC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEPLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-588-7725
Mailing Address - Street 1:2095 W 24TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-6242
Mailing Address - Country:US
Mailing Address - Phone:928-317-3037
Mailing Address - Fax:928-317-0667
Practice Address - Street 1:2095 W 24TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6242
Practice Address - Country:US
Practice Address - Phone:928-317-3037
Practice Address - Fax:928-317-0667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ930025Medicaid