Organization
RESTORATION HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERRILYN ASHLEY YANCY NP (OWNER)
(513) 501-8527
Entity
Organization
Contact information
Practice address
9049 SPRINGBORO PIKE STE C, MIAMISBURG, OH 45342-5057
(513) 501-8527
Mailing address
521 SHAWNEE RUN APT A, DAYTON, OH 45449-3922
(513) 501-8527
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HOMECARE
HOMECARE
OH
Enumeration date
06/01/2022
Last updated
06/01/2022
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