MEDICARE: RINA HEALTHCARE SERVICES 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	:	1346592789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RINA HEALTHCARE SERVICES LLC.

Provider Business Mailing Address
First Line	:	2015 UPLAND SHADOWS DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3332
Country	:	US
Telephone Number	:	281-300-7998
Fax Number	:

Provider Business Practice Location Address
First Line	:	2015 UPLAND SHADOWS DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3332
Country	:	US
Telephone Number	:	281-300-7998
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SUSAN FORUN
Credential	:
Telephone Number	:	281-300-7998

Provider Enumeration Date	:	10/09/2012
Last Update Date	:	10/09/2012

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