Provider Demographics
NPI:1013168046
Name:N YOUR HOME HEALTH CARE
Entity Type:Organization
Organization Name:N YOUR HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NAKIA
Authorized Official - Middle Name:MONYEA
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-352-2102
Mailing Address - Street 1:515 W MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-2913
Mailing Address - Country:US
Mailing Address - Phone:760-352-2102
Mailing Address - Fax:760-352-2922
Practice Address - Street 1:515 W MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-2913
Practice Address - Country:US
Practice Address - Phone:760-352-2102
Practice Address - Fax:760-352-2922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health