Provider Demographics
NPI:1962112532
Name:YANIS HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:YANIS HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:IGBELINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-434-1378
Mailing Address - Street 1:2227 DIAMOND CREST DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-3287
Mailing Address - Country:US
Mailing Address - Phone:346-434-1378
Mailing Address - Fax:
Practice Address - Street 1:2227 DIAMOND CREST DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-3287
Practice Address - Country:US
Practice Address - Phone:346-434-1378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty