Provider Demographics
NPI:1215784046
Name:HEALTHRAGEOUS, LLC
Entity type:Organization
Organization Name:HEALTHRAGEOUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAISINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-868-8655
Mailing Address - Street 1:2043 NORTH ABINGDON STREET
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207
Mailing Address - Country:US
Mailing Address - Phone:855-868-8655
Mailing Address - Fax:
Practice Address - Street 1:2043 NORTH ABINGDON STREET
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207
Practice Address - Country:US
Practice Address - Phone:855-868-8655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals