Yilla Personal Care Home, Inc

LBN: Yilla Personal Care Home, Inc
Yilla Personal Care Home, Inc is an health care organization with primary practice located at 6226 Windy Ridge Trl , Lithonia GA 30058-6625. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Yilla Personal Care Home, Inc can be contacted via phone (631) 848-3740, or through Yilla, Racquel via phone (631) 848-3740.

Contact Information

Primary practice address
6226 Windy Ridge Trl Lithonia GA 30058-6625
Fax: (770) 783-6604
Website:
Authorized official contact:
Name: Yilla, Racquel Registered Nurse (RN)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 044-01-850-2 Georgia

Profile Details

NPI number 1467769398
LBN Legal business name Yilla Personal Care Home, Inc
DBA Doing business as
Authorized official Yilla, Racquel Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2010
Last updated Jun 2nd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467769398 NPPES
Georgia MEDICAID 776635011F
Georgia MEDICAID 776635011A
Georgia MEDICAID 776635011I
Georgia MEDICAID 776635011G
Georgia MEDICAID 776635011H
Georgia MEDICAID 776635011D
Georgia MEDICAID 776635011C
Georgia MEDICAID 609202851A
Georgia MEDICAID 776635011E
Georgia MEDICAID 776635011B

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