Provider Demographics
NPI:1033706171
Name:RA INTEGRATED HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:RA INTEGRATED HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:ADESINA
Authorized Official - Middle Name:AYOKUNLE
Authorized Official - Last Name:AGBEDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-929-0712
Mailing Address - Street 1:6500 EMERALD PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-6236
Mailing Address - Country:US
Mailing Address - Phone:614-376-7253
Mailing Address - Fax:614-467-8266
Practice Address - Street 1:6500 EMERALD PKWY STE 100
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-6236
Practice Address - Country:US
Practice Address - Phone:614-376-7253
Practice Address - Fax:614-467-8266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care