Provider Demographics
NPI:1225607021
Name:YOUR HOME ASSISTANT, LLC.
Entity Type:Organization
Organization Name:YOUR HOME ASSISTANT, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUELLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-970-9001
Mailing Address - Street 1:9924 LOUSADA DR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-6347
Mailing Address - Country:US
Mailing Address - Phone:916-970-9001
Mailing Address - Fax:916-970-9002
Practice Address - Street 1:2228 LONGPORT CT STE 130
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7180
Practice Address - Country:US
Practice Address - Phone:916-970-9001
Practice Address - Fax:916-970-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-24
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care