Provider Demographics
NPI:1801559695
Name:YURICA HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:YURICA HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMMESHARANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-755-9653
Mailing Address - Street 1:3648 CYPRESS CREEK PKWY STE 121B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3609
Mailing Address - Country:US
Mailing Address - Phone:314-755-9653
Mailing Address - Fax:
Practice Address - Street 1:3648 CYPRESS CREEK PKWY STE 121B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3609
Practice Address - Country:US
Practice Address - Phone:314-755-9653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health