Provider Demographics
NPI:1033674007
Name:RAPHA HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:RAPHA HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:THERESAH
Authorized Official - Middle Name:ODE
Authorized Official - Last Name:BOAKYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-432-9079
Mailing Address - Street 1:733 E DUBLIN GRANVILLE RD STE 204
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3200
Mailing Address - Country:US
Mailing Address - Phone:614-432-9079
Mailing Address - Fax:614-319-8000
Practice Address - Street 1:733 E DUBLIN GRANVILLE RD STE 204
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3200
Practice Address - Country:US
Practice Address - Phone:614-432-9079
Practice Address - Fax:614-319-8000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-04
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health