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YOUR MEDWAIVER PROVIDER INC
NPI 1497055487
In Home Supportive Care in Newberry, FL

Active since October 25, 2010
13200 W NEWBERRY RD, J50, NEWBERRY, FL 32669(352) 474-8492 Get Directions Write a Review

NPPES record last updated: October 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Your Medwaiver Provider Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUR MEDWAIVER PROVIDER INC (NPI 1497055487) is a healthcare organization registered as an in home supportive care in Newberry, Florida and active in the NPI registry since October 2010. The organization lists Anatoly N Lukyanov, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497055487
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameYOUR MEDWAIVER PROVIDER INC
Location Address13200 W NEWBERRY RD, J50Newberry, FL 32669-2764
Mailing Address13200 W Newberry Rd, J50Newberry, FL 32669-2764 · (352) 474-8492
Phone(352) 474-8492
Organization SubpartNo
Authorized OfficialAnatoly N LukyanovCeo · (352) 474-8492
Enumeration DateOctober 25, 2010
✔ NPI 1497055487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Also ListedCase ManagementTaxonomy 251B00000X
13200 W NEWBERRY RD, Newberry, FL 32669
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TRACEY LYNN CARLOS M.S., CCC/SLP
Speech-Language Pathologist
13200 W NEWBERRY RD, #D20
NEWBERRY, FL 32669
Alachua County (352) 494-4478

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Your Medwaiver Provider Inc's NPI number?

The NPI number for Your Medwaiver Provider Inc is 1497055487. It was assigned to this organization in the NPPES registry on October 25, 2010.

Where is Your Medwaiver Provider Inc located?

Your Medwaiver Provider Inc is located at 13200 W Newberry Rd J50, Newberry, FL 32669. The listed phone number is (352) 474-8492.

What is Your Medwaiver Provider Inc's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Your Medwaiver Provider Inc was last updated on October 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.