Provider Demographics
NPI:1851760318
Name:YTB ENTERPRISE LLC
Entity Type:Organization
Organization Name:YTB ENTERPRISE LLC
Other - Org Name:PREMIER CHOICE HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-702-9513
Mailing Address - Street 1:610 UPTOWN BLVD
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-3527
Mailing Address - Country:US
Mailing Address - Phone:214-702-9513
Mailing Address - Fax:903-803-8086
Practice Address - Street 1:610 UPTOWN BLVD
Practice Address - Street 2:SUITE 2000
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-3527
Practice Address - Country:US
Practice Address - Phone:214-702-9513
Practice Address - Fax:903-803-8086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-15
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health