Healthcare Provider Details

I. General information

NPI: 1760301097
Provider Name (Legal Business Name): YOU MATTER SUPPORTIVE LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22303 205TH ST
COUNCIL BLUFFS IA
51503-8071
US

IV. Provider business mailing address

22303 205TH ST
COUNCIL BLUFFS IA
51503-8071
US

V. Phone/Fax

Practice location:
  • Phone: 708-374-9906
  • Fax:
Mailing address:
  • Phone: 708-374-9906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TIM BRAIMAH
Title or Position: DIRECTOR
Credential:
Phone: 708-374-9906