Yamaya Respus, CERTIFIED HAIR LOSS

Individual provider Active NPI Prosthetics Case Management · Maple Hill, NC

NPI 1043763683 · NPPES record last updated Aug 1, 2016

Key facts

NPI
1043763683
Entity type
Individual (NPI type 1)
Primary specialty
Prosthetics Case Management 1744P3200X
License
C 104130 (NC)
Practice address
1145 Webbtown Rd
Maple Hill, NC 28454-8003
Phone
(910) 789-3479
NPI assigned
Aug 1, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C 104130NCMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
Totallife Home Care LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X C 104130 NC Yes

Addresses

Primary practice location

1145 Webbtown Rd
Maple Hill, NC 28454-8003

Mailing address

1145 Webbtown Rd
Maple Hill, NC 28454-8003
Phone (910) 789-3479

Other providers in Maple Hill, NC

All providers in Maple Hill, NC · Prosthetics Case Management in North Carolina

Sources for this page

Verify at the official NPI Registry.