Provider Demographics
NPI:1093460834
Name:RAPHA HOUSE HEALTH LLC
Entity Type:Organization
Organization Name:RAPHA HOUSE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:FALCO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:515-349-1820
Mailing Address - Street 1:8860 NORTHPARK DR STE 100&200
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50131-3167
Mailing Address - Country:US
Mailing Address - Phone:515-349-1820
Mailing Address - Fax:515-349-1824
Practice Address - Street 1:8860 NORTHPARK DR STE 100&200
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50131-3167
Practice Address - Country:US
Practice Address - Phone:515-349-1820
Practice Address - Fax:515-349-1824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-21
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care MedicineGroup - Multi-Specialty