Provider Demographics
NPI:1437515061
Name:Y-PCS GROUP, INC
Entity Type:Organization
Organization Name:Y-PCS GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDER
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:TRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-412-1318
Mailing Address - Street 1:8499 WAHRMAN ST
Mailing Address - Street 2:
Mailing Address - City:ROMULUS
Mailing Address - State:MI
Mailing Address - Zip Code:48174-4161
Mailing Address - Country:US
Mailing Address - Phone:313-412-1318
Mailing Address - Fax:248-809-6232
Practice Address - Street 1:23077 GREENFIELD RD STE 238
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-3767
Practice Address - Country:US
Practice Address - Phone:313-412-1318
Practice Address - Fax:248-809-6232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-12
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 251S00000X, 310500000X
MIL760342251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health