Provider Demographics
NPI:1801831037
Name:YOUR CARE INC
Entity Type:Organization
Organization Name:YOUR CARE INC
Other - Org Name:YOURCARE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELMER
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WURTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-697-2001
Mailing Address - Street 1:1038 E BASTANCHARY ROAD
Mailing Address - Street 2:SUITE 275
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-2786
Mailing Address - Country:US
Mailing Address - Phone:714-441-5888
Mailing Address - Fax:888-349-8837
Practice Address - Street 1:1604 HARRODSBURG ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3706
Practice Address - Country:US
Practice Address - Phone:714-441-5888
Practice Address - Fax:888-349-8837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100550332B00000X
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1801831037Medicaid