Provider Demographics
NPI:1699822049
Name:Y-HOME HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:Y-HOME HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:HER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-793-8699
Mailing Address - Street 1:23 EMPIRE DR
Mailing Address - Street 2:SUITE 704
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55103-1856
Mailing Address - Country:US
Mailing Address - Phone:651-793-8699
Mailing Address - Fax:
Practice Address - Street 1:23 EMPIRE DR
Practice Address - Street 2:SUITE 704
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55103-1856
Practice Address - Country:US
Practice Address - Phone:651-793-8699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health