Provider Demographics
NPI:1043854458
Name:RASMUSSEN HOME CARE LLC
Entity Type:Organization
Organization Name:RASMUSSEN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMIRAT
Authorized Official - Middle Name:AMA
Authorized Official - Last Name:RASMUSSEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHCP
Authorized Official - Phone:404-996-9466
Mailing Address - Street 1:9730 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-2827
Mailing Address - Country:US
Mailing Address - Phone:404-996-9466
Mailing Address - Fax:678-404-7624
Practice Address - Street 1:9730 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-2827
Practice Address - Country:US
Practice Address - Phone:404-996-9466
Practice Address - Fax:678-404-7624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No251J00000XAgenciesNursing CareGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care