Provider Demographics
NPI:1558450478
Name:ESPECIALLY YOURS HOME HEALTH, INC.
Entity Type:Organization
Organization Name:ESPECIALLY YOURS HOME HEALTH, INC.
Other - Org Name:PATIENT QUALITY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR DIRECTOR REGULATORY PRACTICES
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGLASSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-221-2250
Mailing Address - Street 1:111 WESTWOOD PL
Mailing Address - Street 2:STE 200
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5021
Mailing Address - Country:US
Mailing Address - Phone:615-221-2250
Mailing Address - Fax:
Practice Address - Street 1:368 E ROWLAND ST
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-3154
Practice Address - Country:US
Practice Address - Phone:626-653-8880
Practice Address - Fax:626-653-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001032251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA57696FMedicaid
CAHHA57696FMedicaid