MEDICARE: RAINFORD HOMECARE SOLTUTIONS 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1912629585
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAINFORD HOMECARE SOLTUTIONS LLC

Provider Business Mailing Address
First Line	:	3605 SWEET GRASS CIR APT 9025
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-8604
Country	:	US
Telephone Number	:	953-803-6392
Fax Number	:

Provider Business Practice Location Address
First Line	:	3605 SWEET GRASS CIR APT 9025
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-8604
Country	:	US
Telephone Number	:	954-803-6392
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHEIKIRA BRISSETT
Credential	:
Telephone Number	:	954-803-6392

Provider Enumeration Date	:	09/12/2022
Last Update Date	:	09/12/2022

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