Provider Demographics
NPI:1295450922
Name:YBG HEALTHCARE LLC
Entity type:Organization
Organization Name:YBG HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YEMANE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW
Authorized Official - Phone:206-659-9998
Mailing Address - Street 1:15 S GRADY WAY STE 527
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-3217
Mailing Address - Country:US
Mailing Address - Phone:206-659-9998
Mailing Address - Fax:
Practice Address - Street 1:15 S GRADY WAY STE 527
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-3217
Practice Address - Country:US
Practice Address - Phone:206-659-9998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1942OtherWASHINGTON STATE DEPT. OF HEALTH CERTIFICATE OF NEED PROGRAM