Yellowtail Home Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

YELLOWTAIL HOME CARE LLC

Doing business as

Yellowtail Home Care

Practice address

8513 Yellowtail Way
Antelope, CA 95843-4951

Phone

(916) 868-4236

NPI assigned

Apr 10, 2023

Organization subpart

No

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

Authorized official

Name

Ying Liu

Title

Administrator

Phone

(916) 868-4236

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Yellowtail Home Care Doing business as

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1316632771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8161 CHIMANGO CT",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958435332",
            "telephone_number": "916-868-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8513 YELLOWTAIL WAY",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958434951",
            "telephone_number": "916-868-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOWTAIL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "YING",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-868-4236"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF SOCIAL SERVICES, CCLD",
            "identifier": "342700766",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yellowtail Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William J. Black DDS, Inc
• Kamala Lynn William
• Alan S Williams, LPT
• Katherine L. Wilson, PSY. D
• Rebecca Shoua Yang, PHARMD
• Rian Carlo Yu
• Emily Zarzeka
• Yana Zhovinsky, MA, MS, ICCE, CBS

• Assisted Living Facility in Antelope, CA
• Providers in Antelope, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.