Provider Demographics
NPI:1588357487
Name:R & C HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:R & C HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NUWAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYE-HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-703-4566
Mailing Address - Street 1:1511 71ST AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55430-1118
Mailing Address - Country:US
Mailing Address - Phone:612-703-4566
Mailing Address - Fax:
Practice Address - Street 1:1511 71ST AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55430-1118
Practice Address - Country:US
Practice Address - Phone:612-703-4566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness