Provider Demographics
NPI:1528462892
Name:R & J HOME HEALTH CARE
Entity type:Organization
Organization Name:R & J HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA/GENERAL PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE-ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-748-1430
Mailing Address - Street 1:159 ROBINSON RD
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35811-8840
Mailing Address - Country:US
Mailing Address - Phone:256-929-1893
Mailing Address - Fax:256-929-1893
Practice Address - Street 1:159 ROBINSON RD
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35811-8840
Practice Address - Country:US
Practice Address - Phone:256-929-1893
Practice Address - Fax:256-929-1893
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:R & J HOME HEALTH CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17238251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health