MEDICARE: YEMI ENTERPRISES 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1770391344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YEMI ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	5415 PERTH CT
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80249-8411
Country	:	US
Telephone Number	:	303-359-9903
Fax Number	:

Provider Business Practice Location Address
First Line	:	5415 PERTH CT
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80249-8411
Country	:	US
Telephone Number	:	303-359-9903
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YEMISRACH TIKE
Credential	:
Telephone Number	:	303-359-9903

Provider Enumeration Date	:	12/27/2024
Last Update Date	:	01/09/2026

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Directions to “YEMI ENTERPRISES LLC ” Practice Location

Language	Start Address	Practice Location

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