Provider Demographics
NPI:1285311175
Name:HIYAB HOMECARE LLC
Entity type:Organization
Organization Name:HIYAB HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TSION
Authorized Official - Middle Name:TESFASILASIE
Authorized Official - Last Name:GHEBREAZGHABIHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-931-2989
Mailing Address - Street 1:2401 S IRELAND WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-8992
Mailing Address - Country:US
Mailing Address - Phone:303-931-2989
Mailing Address - Fax:
Practice Address - Street 1:2401 S IRELAND WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-8992
Practice Address - Country:US
Practice Address - Phone:303-931-2989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management