Provider Demographics
NPI:1598154015
Name:YOUR CARE LLC
Entity Type:Organization
Organization Name:YOUR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PFUND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-508-2273
Mailing Address - Street 1:909 W MARSHALL AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-1734
Mailing Address - Country:US
Mailing Address - Phone:844-508-2273
Mailing Address - Fax:877-439-1622
Practice Address - Street 1:2728 N 24TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-1050
Practice Address - Country:US
Practice Address - Phone:844-508-2273
Practice Address - Fax:877-439-1622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care