YOUR MEDWAIVER PROVIDER INC – In Home Supportive Care Agency, NPI 1497055487

YOUR MEDWAIVER PROVIDER INC is a healthcare provider. based in Newberry, Florida. specializing in In Home Supportive Care Agency. The NPI Number for YOUR MEDWAIVER PROVIDER INC is 1497055487

Main info

Organization
Name
YOUR MEDWAIVER PROVIDER INC
NPI
1497055487
Phone
(352) 474-8492
Address
13200 W NEWBERRY RD
Authorized Official
ANATOLY N LUKYANOV CEO
Enumeration Date
25 October 2010
Last Update Date
25 October 2010
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:15State licenses:0Digital endpointsOther names

Provider Addresses for YOUR MEDWAIVER PROVIDER INC

  • 13200 W NEWBERRY RD

    J50

    NEWBERRY, FL 326692764

    Phone: (352) 474-8492

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32669)

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Reviews

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Frequently asked questions

What unique ID ties claims to YOUR MEDWAIVER PROVIDER INC?
NPI 1497055487 is assigned to YOUR MEDWAIVER PROVIDER INC under the national enumeration system.
Is YOUR MEDWAIVER PROVIDER INC's NPI currently valid?
The extract we use shows YOUR MEDWAIVER PROVIDER INC as active.
Does YOUR MEDWAIVER PROVIDER INC list a primary specialty?
If you are matching referrals, note In Home Supportive Care Agency for YOUR MEDWAIVER PROVIDER INC. Clinical services aligned with this taxonomy classification.
Where is YOUR MEDWAIVER PROVIDER INC's primary listing?
We display Newberry, Florida because that is what the record indicates for YOUR MEDWAIVER PROVIDER INC.
What if Newberry, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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