Provider Demographics
NPI:1376169003
Name:YUFANYI HOLDING GROUP LLC PARAMOUNT CARE
Entity Type:Organization
Organization Name:YUFANYI HOLDING GROUP LLC PARAMOUNT CARE
Other - Org Name:PARAMOUNT CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/MANAGING EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CTSIAMBU
Authorized Official - Last Name:YUFANYI
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:612-636-3800
Mailing Address - Street 1:12041 78TH ST NE
Mailing Address - Street 2:
Mailing Address - City:OTSEGO
Mailing Address - State:MN
Mailing Address - Zip Code:55330-4822
Mailing Address - Country:US
Mailing Address - Phone:612-636-3800
Mailing Address - Fax:763-777-9044
Practice Address - Street 1:12041 78TH ST NE
Practice Address - Street 2:
Practice Address - City:OTSEGO
Practice Address - State:MN
Practice Address - Zip Code:55330-4822
Practice Address - Country:US
Practice Address - Phone:612-636-3800
Practice Address - Fax:763-777-9044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-18
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care