MEDICARE: YOUR POSITIVE RESOURCES 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1770433872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUR POSITIVE RESOURCES LLC

Provider Business Mailing Address
First Line	:	100 ADMIRAL CALLAGHAN LN UNIT 5242
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94591-3213
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 ADMIRAL CALLAGHAN LN UNIT 5242
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94591-3213
Country	:	US
Telephone Number	:	925-565-5457
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TINA SHAW
Credential	:
Telephone Number	:	925-565-5457

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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Directions to “YOUR POSITIVE RESOURCES LLC ” Practice Location

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