Larry B. Yazzie
Individual provider Active NPI Home Health Aide · Pinon, AZ
NPI 1679828875 · NPPES record last updated Jul 13, 2012
Key facts
- NPI
- 1679828875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 9 Miles East of Pinon Bashas
Pinon, AZ 86510-1209 - Phone
- (928) 675-7494
- NPI assigned
- Jul 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
9 Miles East of Pinon Bashas
Pinon, AZ 86510-1209
Mailing address
PO Box 1209
Pinon, AZ 86510-1209
Phone (928) 675-7494
Other providers in Pinon, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.