Provider Demographics
NPI:1992147789
Name:YARAAB HOME CARE SERVICES INC.
Entity type:Organization
Organization Name:YARAAB HOME CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:FARZANA
Authorized Official - Middle Name:AYUBI
Authorized Official - Last Name:AFGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-896-2701
Mailing Address - Street 1:630 MOON RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-6108
Mailing Address - Country:US
Mailing Address - Phone:678-896-2701
Mailing Address - Fax:
Practice Address - Street 1:630 MOON RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-6108
Practice Address - Country:US
Practice Address - Phone:678-896-2701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067-R-0540251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003120426BMedicaid
GA003110748AMedicaid
GA003110748CMedicaid