MEDICARE: YVONNE CARES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1134732464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YVONNE CARES, INC

Provider Business Mailing Address
First Line	:	1812 W BURBANK BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91506-1315
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1812 W BURBANK BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91506-1315
Country	:	US
Telephone Number	:	818-791-5329
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	YVONNE PHIPPS
Credential	:
Telephone Number	:	818-791-5329

Provider Enumeration Date	:	08/26/2020
Last Update Date	:	08/26/2020

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