=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396855953
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | YRRL INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/30/2006
-----------------------------------------------------
Last Update Date | 02/17/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4910 GOLDEN QUAIL STE 170
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78240-1770
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-541-0131
-----------------------------------------------------
Fax | 210-541-0227
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4910 GOLDEN QUAIL SUITE 170
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78240
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-541-0131
-----------------------------------------------------
Fax | 210-541-0227
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO CFO
-----------------------------------------------------
Name | MRS. SYLVIA C MONTEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 210-541-0131
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 9992
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------