Healthcare Provider Details

I. General information

NPI: 1033750906
Provider Name (Legal Business Name): YUCARE HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2019
Last Update Date: 07/29/2020
Certification Date: 07/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 S HAVANA ST STE 834
AURORA CO
80012-4018
US

IV. Provider business mailing address

1450 S HAVANA ST STE 834
AURORA CO
80012-4018
US

V. Phone/Fax

Practice location:
  • Phone: 303-862-4456
  • Fax: 303-862-4910
Mailing address:
  • Phone: 303-862-4456
  • Fax: 303-862-4910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. ABDIRIZAK ABBI
Title or Position: PRESIDENT
Credential:
Phone: 720-305-3335