Healthcare Provider Details

I. General information

NPI: 1801770169
Provider Name (Legal Business Name): RUACH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 HELDERBERG AVE APT B102
SCHENECTADY NY
12306-4243
US

IV. Provider business mailing address

1760 HELDERBERG AVE APT B102
SCHENECTADY NY
12306-4243
US

V. Phone/Fax

Practice location:
  • Phone: 240-815-9471
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: FNU EGBEREKE GEORGE TANYI
Title or Position: CEO
Credential:
Phone: 240-815-9471