MEDICARE: RAPHA HOME HEALTH CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1033674007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAPHA HOME HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	2700 E DUBLIN GRANVILLE RD STE 500
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4034
Country	:	US
Telephone Number	:	614-432-9079
Fax Number	:	614-318-2686

Provider Business Practice Location Address
First Line	:	2700 E DUBLIN GRANVILLE RD STE 500
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4034
Country	:	US
Telephone Number	:	614-432-9079
Fax Number	:	614-318-2686

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	THERESAH ODE BOAKYE
Credential	:
Telephone Number	:	614-432-9079

Provider Enumeration Date	:	02/04/2019
Last Update Date	:	06/23/2025

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