Healthcare Provider Details

I. General information

NPI: 1609748060
Provider Name (Legal Business Name): RACHAMIM CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

694 JAMESTOWN BLVD APT 1260
ALTAMONTE SPRINGS FL
32714-4693
US

IV. Provider business mailing address

694 JAMESTOWN BLVD APT 1260
ALTAMONTE SPRINGS FL
32714-4693
US

V. Phone/Fax

Practice location:
  • Phone: 689-226-9475
  • Fax:
Mailing address:
  • Phone: 689-226-9475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE TASHAY WINCHESTER
Title or Position: MRG
Credential:
Phone: 689-226-9475