Healthcare Provider Details

I. General information

NPI: 1922848142
Provider Name (Legal Business Name): RAYS OF JOY HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2024
Last Update Date: 05/27/2024
Certification Date: 05/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1146 FORREST AVE
GADSDEN AL
35901-3542
US

IV. Provider business mailing address

1227 HOKE ST
GADSDEN AL
35903-2138
US

V. Phone/Fax

Practice location:
  • Phone: 774-343-1897
  • Fax:
Mailing address:
  • Phone: 205-917-0525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: JOYCELYN A RAY
Title or Position: OWNER
Credential:
Phone: 205-917-0525