Provider Demographics
NPI:1922517010
Name:Y&I HEALTHCARE CORP
Entity Type:Organization
Organization Name:Y&I HEALTHCARE CORP
Other - Org Name:GOLDEN MEMORY ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ARNP
Authorized Official - Prefix:MR
Authorized Official - First Name:IRVING
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-746-3229
Mailing Address - Street 1:2135 SANTA BARBARA BLVD
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-4359
Mailing Address - Country:US
Mailing Address - Phone:239-576-6892
Mailing Address - Fax:239-573-5921
Practice Address - Street 1:2135 SANTA BARBARA BLVD
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-4359
Practice Address - Country:US
Practice Address - Phone:239-576-6892
Practice Address - Fax:239-573-5921
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL680708Medicaid