Healthcare Provider Details

I. General information

NPI: 1346860400
Provider Name (Legal Business Name): RAYMC HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2020
Last Update Date: 04/19/2020
Certification Date: 04/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 BOUTWELL ST APT 1
MANCHESTER NH
03102-3466
US

IV. Provider business mailing address

66 BOUTWELL ST APT 1
MANCHESTER NH
03102-3466
US

V. Phone/Fax

Practice location:
  • Phone: 603-570-9484
  • Fax: 603-570-9483
Mailing address:
  • Phone: 603-570-9484
  • Fax: 603-570-9483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHELSEA MCKENZIE
Title or Position: CO-OWNER
Credential: RN
Phone: 603-296-7013