Provider Demographics
NPI:1295361467
Name:C YES CARE
Entity Type:Organization
Organization Name:C YES CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YVA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:516-900-7471
Mailing Address - Street 1:12 STUART DR
Mailing Address - Street 2:
Mailing Address - City:CORAM
Mailing Address - State:NY
Mailing Address - Zip Code:11727-1914
Mailing Address - Country:US
Mailing Address - Phone:516-967-7636
Mailing Address - Fax:
Practice Address - Street 1:12 STUART DR
Practice Address - Street 2:
Practice Address - City:CORAM
Practice Address - State:NY
Practice Address - Zip Code:11727-1914
Practice Address - Country:US
Practice Address - Phone:516-900-7471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management