MEDICARE: Y&I HEALTHCARE CORP

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	261QA0600X	Adult Day Care Clinic/Center		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922517010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	Y&I HEALTHCARE CORP

Provider Business Mailing Address
First Line	:	2135 SANTA BARBARA BLVD
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-4359
Country	:	US
Telephone Number	:	239-576-6892
Fax Number	:	239-573-5921

Provider Business Practice Location Address
First Line	:	2135 SANTA BARBARA BLVD
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-4359
Country	:	US
Telephone Number	:	239-576-6892
Fax Number	:	239-573-5921

Authorized Official
Title or Position	:	ARNP
Name	:	MR. IRVING HERNANDEZ
Credential	:
Telephone Number	:	305-746-3229

Provider Enumeration Date	:	09/21/2017
Last Update Date	:	07/21/2022

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Directions to “Y&I HEALTHCARE CORP ” Practice Location

Language	Start Address	Practice Location

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