Provider Demographics
NPI:1104345651
Name:RA AND S CONSULTING SERVICES LLC
Entity type:Organization
Organization Name:RA AND S CONSULTING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KAWANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA/ LPN
Authorized Official - Phone:404-552-3218
Mailing Address - Street 1:385 LONG CREEK DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-7733
Mailing Address - Country:US
Mailing Address - Phone:404-552-3218
Mailing Address - Fax:678-660-3827
Practice Address - Street 1:3615 SALEM RD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-2597
Practice Address - Country:US
Practice Address - Phone:470-236-3099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-15
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA14061917251E00000X, 253Z00000X
261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care