Provider Demographics
NPI:1235202151
Name:RAPHA HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:RAPHA HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:UZOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-277-0775
Mailing Address - Street 1:4250 BLUEBONNET DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-2911
Mailing Address - Country:US
Mailing Address - Phone:281-277-0775
Mailing Address - Fax:281-277-0779
Practice Address - Street 1:4250 BLUEBONNET DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-2911
Practice Address - Country:US
Practice Address - Phone:281-277-0775
Practice Address - Fax:281-277-0779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13915251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX13915OtherTXDADS LIC #
TX13915OtherTXDADS LIC #