Provider Demographics
NPI:1336487487
Name:RJS HOMECARE LLC
Entity Type:Organization
Organization Name:RJS HOMECARE LLC
Other - Org Name:BRIGHTSTAR OF GREATER SCOTTSDALE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:RAYL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:480-302-5139
Mailing Address - Street 1:8436 E SHEA BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6673
Mailing Address - Country:US
Mailing Address - Phone:480-302-5139
Mailing Address - Fax:480-302-5156
Practice Address - Street 1:8436 E SHEA BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6673
Practice Address - Country:US
Practice Address - Phone:480-302-5139
Practice Address - Fax:480-302-5156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-24
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHHA5617251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health