Organization Active NPI

Yetkin Advanced Healthcare Inc

  • Home Health Agency
  • Desoto, TX
National Provider Identifier
1033391529
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
YETKIN ADVANCED HEALTHCARE INC
Practice address
115 Executive Way Ste 200
Desoto, TX 75115-2308
Phone
(972) 564-3471
Fax
(972) 552-3610
NPI assigned
Nov 27, 2007
Last updated
Aug 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Alfred Akinola
Title
Onwer/Administrator
Phone
(214) 695-0112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X TX Primary

Addresses

Primary practice location

115 Executive Way Ste 200
Desoto, TX 75115-2308

Mailing address

115 Executive Way Ste 200
Desoto, TX 75115-2308
Phone (972) 564-3471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081031000508 TX Part A Provider - Home Health Agency 5799844031 Practice locations: Desoto, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033391529. Details of each certification follow.

Home health agency certification: CCN 747354

Legal name
YETKIN ADVANCED HEALTHCARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 24, 2010
Last certification
Jan 18, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 19, 2007 in TX
Enrollment address
115 Executive Way
Ste 200
Desoto, TX 75115-2308

Care Compare: Home health agency

Medicare Care Compare
Listed as
Yetkin Advanced Healthcare IncorporatedCCN 747354 · All quality measures
Ownership
Proprietary
Certified
Mar 24, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

115 Executive Way
Ste 200
Desoto, TX 75115
Phone (972) 564-3471

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Omolade Akinyemi Individual 5% Or Greater Direct Ownership InterestVP/Don Nov 19, 2007 49%
Corporate Director Sep 12, 2008
Emmanuel Akinyemi Individual 5% Or Greater Direct Ownership InterestCeo/Administrator Sep 12, 2008
Corporate OfficerCeo/Administrator Nov 19, 2007 51%
Corporate Director Sep 12, 2008
W-2 Managing EmployeeCeo/Administrator Nov 19, 2007 51%

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1033391529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EXECUTIVE WAY STE 200",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152308",
            "telephone_number": "972-564-3471",
            "fax_number": "972-552-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EXECUTIVE WAY STE 200",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152308",
            "telephone_number": "972-564-3471",
            "fax_number": "972-552-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YETKIN ADVANCED HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "AKINOLA",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "ONWER/ADMINISTRATOR",
        "authorized_official_telephone_number": "214-695-0112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.