Provider Demographics
NPI:1649086356
Name:YANI HOME CARE LLC
Entity type:Organization
Organization Name:YANI HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YASIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-578-9112
Mailing Address - Street 1:11825 SW GREENBURG RD STE 108
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-6466
Mailing Address - Country:US
Mailing Address - Phone:702-578-9112
Mailing Address - Fax:
Practice Address - Street 1:11825 SW GREENBURG RD STE 108
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-6466
Practice Address - Country:US
Practice Address - Phone:702-578-9112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care