Provider Demographics
NPI:1770857013
Name:YAX'S INC
Entity Type:Organization
Organization Name:YAX'S INC
Other - Org Name:YAX'S INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VELMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS-YAX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-691-5525
Mailing Address - Street 1:417 ORANGE ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901-2089
Mailing Address - Country:US
Mailing Address - Phone:706-691-5525
Mailing Address - Fax:
Practice Address - Street 1:417 ORANGE ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-2089
Practice Address - Country:US
Practice Address - Phone:706-691-5525
Practice Address - Fax:706-723-9310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALCB20060034143251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA586387500BMedicaid
GA586387500AMedicaid
GA586387500GMedicaid
GA586387500EMedicaid