Healthcare Provider Details

I. General information

NPI: 1316811995
Provider Name (Legal Business Name): RASCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8512 OAK DR NE
CHARLOTTE NC
28269-1623
US

IV. Provider business mailing address

8512 OAK DR NE
CHARLOTTE NC
28269-1623
US

V. Phone/Fax

Practice location:
  • Phone: 607-353-9368
  • Fax:
Mailing address:
  • Phone: 607-353-9368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: RAFSANJANI ABDUSHAHID
Title or Position: OWNER
Credential:
Phone: 607-353-9368