- Enrollment id
- O20200515000633
- Enrollment state
- CO
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1033750906
- Multiple npi flag
- N
- Ccn
- 067612
- Associate id
- 4284065897
- Organization name
- YUCARE HOME HEALTH INC
- Incorporation date
- 2020-02-28
- Incorporation state
- CO
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1450 S HAVANA ST
- Address line 2
- STE 834
- City
- AURORA
- State
- CO
- Zip code
- 800124046