Yam Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

YAM HOME HEALTH LLC

Practice address

12800 Boenker LN
Bridgeton, MO 63044-2438

Phone

(314) 467-8506

NPI assigned

Mar 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Hassan Jafri

Title

Owner

Phone

(314) 467-8506

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Home health agency certification: CCN 267674

Legal name

YAM HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 24, 2021

Last certification

Mar 24, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Nov 8, 2019 in MO

Enrollment address

12800 Boenker LN
Bridgeton, MO 63044-2438

Listed as

Yam Home Health LLCCCN 267674

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Mar 24, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Hassan R Jafri, PT, DPT

  • Geriatric Physical Therapist
  • St. Louis, MO
  • NPI 1194067116

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer

  CMS ownership
• Rubab Jafri, MD

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
  • NPI 1588925358

  Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 1

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

• Hassan R Jafri, PT, DPT

  • Geriatric Physical Therapist
  • St. Louis, MO
  • NPI 1194067116
  NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Megan Sue Harkey, CNP

  • Nurse Practitioner
  • Saint Peters, MO
  • NPI 1801385471

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1457985178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 BOENKER LN",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 BOENKER LN",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442438",
            "telephone_number": "314-467-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAM HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "JAFRI",
        "authorized_official_first_name": "DR. HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-467-8506"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Woody
• Dylan Scott Workman
• Michelle Antoinette Worthy-Freeman, MSW
• Lee Wright
• William P Wright Jr., MD
• Yam Medical Center LLC
• Tzu-Yi Yang
• Maryem Shafiq Yaya, PHARMD
• Deborah J Yersky, MD
• Trey Yerta, DC

• Home Health Agency in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.