Healthcare Provider Details

I. General information

NPI: 1962215376
Provider Name (Legal Business Name): YOCONDA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3524 WICKLOW RD
COLUMBUS OH
43204-1143
US

IV. Provider business mailing address

8500 NEW HAMPSHIRE AVE APT T29
SILVER SPRING MD
20903-3346
US

V. Phone/Fax

Practice location:
  • Phone: 614-817-5067
  • Fax:
Mailing address:
  • Phone: 614-817-5067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberMD10272274348
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: