MEDICARE: RNR CARES HOME HEALTH CARE AGENCY 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1902582224
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RNR CARES HOME HEALTH CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	1722 49TH ST
Second Line	:
City	:	PENNSAUKEN
State	:	NJ
Zip	:	08110-2934
Country	:	US
Telephone Number	:	856-495-3202
Fax Number	:	856-486-5470

Provider Business Practice Location Address
First Line	:	5245 RIDGE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19128-3711
Country	:	US
Telephone Number	:	856-495-3202
Fax Number	:	856-486-5470

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RICHARD IRVIN JONES III
Credential	:
Telephone Number	:	856-495-3202

Provider Enumeration Date	:	06/22/2023
Last Update Date	:	06/22/2023

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