Healthcare Provider Details

I. General information

NPI: 1821954512
Provider Name (Legal Business Name): RAHA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2025
Last Update Date: 12/27/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

949 S LONGMORE APT 244
MESA AZ
85202-4320
US

IV. Provider business mailing address

949 S LONGMORE APT 244
MESA AZ
85202-4320
US

V. Phone/Fax

Practice location:
  • Phone: 352-231-3542
  • Fax:
Mailing address:
  • Phone: 352-231-3542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: PHYLLIS MUCHEMI
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 352-231-3542