Healthcare Provider Details

I. General information

NPI: 1275009805
Provider Name (Legal Business Name): RACHELS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2018
Last Update Date: 10/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 PROSPECT ST
GARFIELD NJ
07026
US

IV. Provider business mailing address

180 PROSPECT ST
GARFIELD NJ
07026
US

V. Phone/Fax

Practice location:
  • Phone: 862-571-2253
  • Fax:
Mailing address:
  • Phone: 862-304-0868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: RAQUEL NATAL
Title or Position: MANAGING MBR
Credential:
Phone: 862-304-0868