Provider Demographics
NPI:1336298736
Name:YUROCARE CORPORATION
Entity Type:Organization
Organization Name:YUROCARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDED
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIVINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TABETA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-316-3002
Mailing Address - Street 1:104 B NORTH BEVERWYCK RD
Mailing Address - Street 2:
Mailing Address - City:LAKE HIAWATHA
Mailing Address - State:NJ
Mailing Address - Zip Code:07034
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:104 N BEVERWYCK RD
Practice Address - Street 2:
Practice Address - City:LAKE HIAWATHA
Practice Address - State:NJ
Practice Address - Zip Code:07034-2209
Practice Address - Country:US
Practice Address - Phone:973-316-3002
Practice Address - Fax:973-402-1573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4006950001Medicare ID - Type UnspecifiedDURABLE MEDICAL EQUIPMENT