Healthcare Provider Details
I. General information
NPI: 1063220234
Provider Name (Legal Business Name): RTS SERVICES UNLIMITED IV, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/20/2024
Last Update Date: 12/20/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7200 REGATTA PT UNIT 7D
ST THOMAS VI
00802-2717
US
IV. Provider business mailing address
PO BOX 12455
ST THOMAS VI
00801-8455
US
V. Phone/Fax
- Phone: 340-777-7900
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MELIN DA
D
RICHARDS
Title or Position: CEO
Credential: EDD
Phone: 404-583-4940