Provider Demographics
NPI:1457467136
Name:CR & RA INVESTMENTS LLC
Entity Type:Organization
Organization Name:CR & RA INVESTMENTS LLC
Other - Org Name:TEAM SELECT HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-618-5760
Mailing Address - Street 1:9250 BAYMEADOWS RD STE 450
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-1896
Mailing Address - Country:US
Mailing Address - Phone:904-730-9580
Mailing Address - Fax:904-730-9714
Practice Address - Street 1:9250 BAYMEADOWS RD STE 450
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-1896
Practice Address - Country:US
Practice Address - Phone:904-730-9580
Practice Address - Fax:904-730-9714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651072800Medicaid
312369OtherAETNA
FL651072879Medicaid
7060762OtherAETNA
H21CGA7OtherBCBS
FL6510728098Medicaid
FL651072896Medicaid
FL651072898Medicaid
GAH2IOtherBLUE CROSS BLUE SHEILD
1214OtherCARECENTRIX
312369OtherAVMED
FL651072801Medicaid
FL651072879Medicaid
FL651072898Medicaid
GAH2IOtherBLUE CROSS BLUE SHEILD
312369OtherAETNA
FL6510728098Medicaid