Healthcare Provider Details

I. General information

NPI: 1053057430
Provider Name (Legal Business Name): YAYA CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 05/13/2022
Certification Date: 05/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 CARRIAGE WAY DR APT 100
FITCHBURG MA
01420-7235
US

IV. Provider business mailing address

65 CARRIAGE WAY DR APT 100
FITCHBURG MA
01420-7235
US

V. Phone/Fax

Practice location:
  • Phone: 978-906-5269
  • Fax:
Mailing address:
  • Phone: 978-906-5269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NICOLAS LABOVITIS
Title or Position: OWNER
Credential:
Phone: 978-906-5269