Provider Demographics
NPI:1720741614
Name:YOLANDA'S CARE HOME
Entity Type:Organization
Organization Name:YOLANDA'S CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:NADINE
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-424-8758
Mailing Address - Street 1:PO BOX 78820
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-8820
Mailing Address - Country:US
Mailing Address - Phone:615-424-8758
Mailing Address - Fax:615-649-8287
Practice Address - Street 1:2417 GARDNER LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-4201
Practice Address - Country:US
Practice Address - Phone:615-424-8758
Practice Address - Fax:615-649-8287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility