Provider Demographics
NPI:1982306502
Name:YOUR CARE LLC
Entity Type:Organization
Organization Name:YOUR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:HUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:361-720-9930
Mailing Address - Street 1:218 N COUNTY ROAD 1080
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363-2623
Mailing Address - Country:US
Mailing Address - Phone:361-720-9930
Mailing Address - Fax:
Practice Address - Street 1:218 N COUNTY ROAD 1080
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363-2623
Practice Address - Country:US
Practice Address - Phone:361-720-9930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YOUR CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty