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NPI Code Detail

MEDICARE: RARE CARE HOME CARE, LLC

MEDICARE: RARE CARE HOME CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1385H00000XRespite Care
23747P1801XPersonal Care Attendant
3251E00000XHome Health Agency

General Provider Information

NPI Number : 1033940325
Entity Type Code : Organization
Provider Name (Legal Business Name) : RARE CARE HOME CARE, LLC
Provider Business Mailing Address
First Line : 7849 AZALEA GARDEN RD STE 109
Second Line :
City : NORFOLK
State : VA
Zip : 23518-4500
Country : US
Telephone Number : 757-648-9127
Fax Number :
Provider Business Practice Location Address
First Line : 7849 AZALEA GARDEN RD STE 109
Second Line :
City : NORFOLK
State : VA
Zip : 23518-4500
Country : US
Telephone Number : 757-648-9127
Fax Number :
Authorized Official
Title or Position : CEO
Name : TIARNEY MASHAY MARCUS
Credential :
Telephone Number : 757-648-9127
Provider Enumeration Date : 08/09/2024
Last Update Date : 11/08/2024

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Directions to “RARE CARE HOME CARE, LLC ” Practice Location

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