Provider Demographics
NPI:1568641389
Name:ADVANCED HOME HEALTHCARE SERVICES OF YUMA,L.L.C
Entity Type:Organization
Organization Name:ADVANCED HOME HEALTHCARE SERVICES OF YUMA,L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROCHELLE JARRETT
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:JARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:928-305-2889
Mailing Address - Street 1:5821 E VIEW PKWY
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-1175
Mailing Address - Country:US
Mailing Address - Phone:928-783-1313
Mailing Address - Fax:928-783-1330
Practice Address - Street 1:1025 W 24TH ST
Practice Address - Street 2:SUITE 22
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8366
Practice Address - Country:US
Practice Address - Phone:928-783-1313
Practice Address - Fax:928-783-1330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health