Provider Demographics
NPI:1861003253
Name:Y&M HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:Y&M HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:REYES ROSADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-868-4355
Mailing Address - Street 1:15800 BULL RUN RD APT 360F
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2187
Mailing Address - Country:US
Mailing Address - Phone:786-868-4355
Mailing Address - Fax:305-489-8280
Practice Address - Street 1:15800 BULL RUN RD SUITE F 360
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2187
Practice Address - Country:US
Practice Address - Phone:786-868-4355
Practice Address - Fax:305-489-8280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-11
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL597-07-7707Medicaid