Healthcare Provider Details

I. General information

NPI: 1033964069
Provider Name (Legal Business Name): YEKS EXCLUSIVE HOMEHEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2024
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30202 ARALIA DR
FULSHEAR TX
77423-3006
US

IV. Provider business mailing address

30202 ARALIA DR
FULSHEAR TX
77423-3006
US

V. Phone/Fax

Practice location:
  • Phone: 832-744-5440
  • Fax:
Mailing address:
  • Phone: 832-744-5440
  • Fax:

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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: YETUNDE ADEDIRAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 832-744-5440