Healthcare Provider Details

I. General information

NPI: 1801888920
Provider Name (Legal Business Name): YAKIMA HMA HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 S 10TH AVE
YAKIMA WA
98902-3318
US

IV. Provider business mailing address

PO BOX 719
SUNNYSIDE WA
98944-0719
US

V. Phone/Fax

Practice location:
  • Phone: 509-575-5093
  • Fax: 509-837-6537
Mailing address:
  • Phone: 509-575-5093
  • Fax: 509-454-6537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW A MATHIESSEN
Title or Position: CFO
Credential:
Phone: 509-837-1379