Yacnorev Community Services LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

YACNOREV COMMUNITY SERVICES LLC

Practice address

750 S Orange Blossom TRL Ste 119
Orlando, FL 32805-3154

Phone

(407) 558-5058

Fax

(844) 246-6240

NPI assigned

Feb 21, 2018

Organization subpart

No

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

Authorized official

Name

Veronica BunburyNPI 1487990966

Title

Manager/Owner

Phone

(407) 558-5058

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• yacnorev community services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Veronica Bunbury, CASE MANAGEMENT

  • Case Manager/Care Coordinator
  • Orlando, FL
  • NPI 1487990966
  NPD Authorized official

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1295236701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S ORANGE BLOSSOM TRL STE 119",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053154",
            "telephone_number": "407-558-5058",
            "fax_number": "844-246-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S ORANGE BLOSSOM TRL STE 119",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053154",
            "telephone_number": "407-558-5058",
            "fax_number": "844-246-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YACNOREV COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "BUNBURY",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "407-558-5058"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720325186",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "yacnorev community services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Xing an Inc.
• Tshaj Xiong, CRNA
• Shiyang Xu, MD
• Y & J Vertical Management Corp
• Yacnorev Community Services
• Saudya Yacoob
• David B Yaeger, MD
• Jack J Yager, O.D.
• Pegah Yaghoubi Yeganeh
• Sree J Yalamanchili, M.D.

• Case Management Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.