MEDICARE: RA QUALITY 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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1437099579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RA QUALITY SERVICES LLC

Provider Business Mailing Address
First Line	:	100 LEGACY DR
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-4829
Country	:	US
Telephone Number	:	973-444-6862
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 LEGACY DR
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-4829
Country	:	US
Telephone Number	:	973-444-6862
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GRACE OGUNDAIRO
Credential	:
Telephone Number	:	973-444-6862

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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Directions to “RA QUALITY SERVICES LLC ” Practice Location

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