Healthcare Provider Details

I. General information

NPI: 1588561328
Provider Name (Legal Business Name): RAYNCO HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2026
Last Update Date: 10/23/2026
Certification Date: 10/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 E REPUBLIC RD
SPRINGFIELD MO
65804-7210
US

IV. Provider business mailing address

5364 S WOODFIELD AVE
SPRINGFIELD MO
65810-8601
US

V. Phone/Fax

Practice location:
  • Phone: 417-429-2525
  • Fax:
Mailing address:
  • Phone: 417-429-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES ALFRED RAYNOR JR.
Title or Position: OWNER
Credential:
Phone: 417-429-2525