Provider Demographics
NPI:1285256024
Name:RCT HOMECARE LLC
Entity type:Organization
Organization Name:RCT HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHARMAKE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOHAMUD
Authorized Official - Suffix:
Authorized Official - Credentials:HOME HEALTH CARE
Authorized Official - Phone:614-218-9817
Mailing Address - Street 1:5401 E VAN BUREN ST UNIT 3054
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-3469
Mailing Address - Country:US
Mailing Address - Phone:832-209-0360
Mailing Address - Fax:
Practice Address - Street 1:213 W MESA AVE
Practice Address - Street 2:
Practice Address - City:GALLUP
Practice Address - State:NM
Practice Address - Zip Code:87301-6335
Practice Address - Country:US
Practice Address - Phone:800-550-8603
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health