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NPI Code Detail

MEDICARE: YAKIMA HMA HOME HEALTH, LLC

MEDICARE: YAKIMA HMA HOME HEALTH, LLC
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
1251G00000XCommunity Based Hospice Care Agency602279686WAWA

General Provider Information

NPI Number : 1316962186
Entity Type Code : Organization
Provider Name (Legal Business Name) : YAKIMA HMA HOME HEALTH, LLC
Provider Business Mailing Address
First Line : PO BOX 719
Second Line :
City : SUNNYSIDE
State : WA
Zip : 98944-0719
Country : US
Telephone Number : 509-575-5093
Fax Number :
Provider Business Practice Location Address
First Line : 7 S 10TH AVE
Second Line :
City : YAKIMA
State : WA
Zip : 98902-3318
Country : US
Telephone Number : 509-575-5093
Fax Number : 509-454-6537
Authorized Official
Title or Position : CFO
Name : MATTHEW A MATHIESSEN
Credential :
Telephone Number : 509-837-1379
Provider Enumeration Date : 07/13/2006
Last Update Date : 03/27/2025

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98902-3318
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1083493407 — NORMA ACOB-RAU
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1568241784 — ANTHONY PAUL WYATT PTA
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Directions to “YAKIMA HMA HOME HEALTH, LLC ” Practice Location

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