Healthcare Provider Details

I. General information

NPI: 1902144322
Provider Name (Legal Business Name): CR & RA INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2013
Last Update Date: 11/01/2021
Certification Date: 11/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4905 W LAUREL ST STE 100
TAMPA FL
33607-3826
US

IV. Provider business mailing address

2999 N 44TH ST STE 100
PHOENIX AZ
85018-7247
US

V. Phone/Fax

Practice location:
  • Phone: 813-658-3380
  • Fax: 813-870-3480
Mailing address:
  • Phone: 480-618-5760
  • Fax: 602-253-5656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL LOVELL
Title or Position: PRESIDENT
Credential:
Phone: 480-618-5760