Healthcare Provider Details
I. General information
NPI: 1598135071
Provider Name (Legal Business Name): R A S HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2015
Last Update Date: 09/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1676 N OLDEN AVENUE EXT BLDG#.1
EWING NJ
08638-3209
US
IV. Provider business mailing address
124 ABBEY RD
VOORHEES NJ
08043-2005
US
V. Phone/Fax
- Phone: 609-637-0101
- Fax: 609-637-0122
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
RAHEEL
A
SIDDIQUI
Title or Position: PRESIDENT
Credential:
Phone: 856-264-7024