=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598991648
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | YES VENTURES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/03/2009
-----------------------------------------------------
Last Update Date | 06/03/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 147 COLUMBIA TPKE SUIT 209
-----------------------------------------------------
City | FLORHAM PARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07932-2113
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-236-1111
-----------------------------------------------------
Fax | 973-236-1116
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 147 COLUMBIA TPKE SUIT 209
-----------------------------------------------------
City | FLORHAM PARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07932-2113
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDET
-----------------------------------------------------
Name | JAMES ZUKOWSKY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 973-236-1111
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number | HP0033600
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------