MEDICARE: YES, I C.A.R.E. 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1558964346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YES, I C.A.R.E. LLC

Provider Business Mailing Address
First Line	:	5410 GARY AVE
Second Line	:
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-1751
Country	:	US
Telephone Number	:	216-406-8277
Fax Number	:

Provider Business Practice Location Address
First Line	:	5410 GARY AVE
Second Line	:
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-1751
Country	:	US
Telephone Number	:	216-406-8277
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. CARRIE SHERRIE HILTON
Credential	:	MHRM
Telephone Number	:	216-406-8277

Provider Enumeration Date	:	11/16/2020
Last Update Date	:	11/16/2020

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