Provider Demographics
NPI:1063599405
Name:R.A.I.N. HOME ATTENDANT SERVICES, INC.
Entity type:Organization
Organization Name:R.A.I.N. HOME ATTENDANT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MARCIANA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:ROGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-829-2131
Mailing Address - Street 1:811 MORRIS PARK AVENUE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462
Mailing Address - Country:US
Mailing Address - Phone:718-829-2131
Mailing Address - Fax:718-409-3970
Practice Address - Street 1:811 MORRIS PARK AVENUE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462
Practice Address - Country:US
Practice Address - Phone:718-829-2131
Practice Address - Fax:718-409-3970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9792L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health