Provider Demographics
NPI:1619760535
Name:RACHEL HART, LLC
Entity type:Organization
Organization Name:RACHEL HART, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN, CSOWM
Authorized Official - Phone:434-917-7001
Mailing Address - Street 1:1411 SACHEM PL UNIT 3
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-2556
Mailing Address - Country:US
Mailing Address - Phone:434-917-7001
Mailing Address - Fax:434-205-9800
Practice Address - Street 1:1411 SACHEM PL UNIT 3
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-2556
Practice Address - Country:US
Practice Address - Phone:434-917-7001
Practice Address - Fax:434-205-9800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty