MEDICARE: YVONNE'S ANGELS

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	:	1598624678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YVONNE'S ANGELS

Provider Business Mailing Address
First Line	:	4706 LARGE ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-2939
Country	:	US
Telephone Number	:	267-847-4888
Fax Number	:

Provider Business Practice Location Address
First Line	:	4706 LARGE ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-2939
Country	:	US
Telephone Number	:	267-847-4888
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED NURSE
Name	:	KATRINA TAREZ ROBINSON
Credential	:
Telephone Number	:	267-847-4888

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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Directions to “YVONNE'S ANGELS ” Practice Location

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