Provider Demographics
NPI:1124265111
Name:RACHEL'S WINGS
Entity type:Organization
Organization Name:RACHEL'S WINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CIPRIANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-801-7977
Mailing Address - Street 1:10402 CHEPSTOW PL
Mailing Address - Street 2:
Mailing Address - City:CHELTENHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20623-1163
Mailing Address - Country:US
Mailing Address - Phone:301-801-7977
Mailing Address - Fax:
Practice Address - Street 1:10402 CHEPSTOW PL
Practice Address - Street 2:
Practice Address - City:CHELTENHAM
Practice Address - State:MD
Practice Address - Zip Code:20623-1163
Practice Address - Country:US
Practice Address - Phone:301-801-7977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDW12620183253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care