Provider Demographics
NPI:1639528359
Name:YOUR HOMES, LLC
Entity Type:Organization
Organization Name:YOUR HOMES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAUN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:724-510-7330
Mailing Address - Street 1:PO BOX 3488
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44513-3488
Mailing Address - Country:US
Mailing Address - Phone:724-510-7330
Mailing Address - Fax:888-441-2325
Practice Address - Street 1:100 W RIDGE AVE STE E
Practice Address - Street 2:
Practice Address - City:SHARPSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16150-1282
Practice Address - Country:US
Practice Address - Phone:724-510-7330
Practice Address - Fax:888-441-2325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA25943601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care