Provider Demographics
NPI:1467104356
Name:RAYMOND HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:RAYMOND HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUES
Authorized Official - Middle Name:C
Authorized Official - Last Name:RAYMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-676-6556
Mailing Address - Street 1:294 CENTRAL AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-3578
Mailing Address - Country:US
Mailing Address - Phone:973-676-6556
Mailing Address - Fax:973-676-6543
Practice Address - Street 1:294 CENTRAL AVE FL 1
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-3578
Practice Address - Country:US
Practice Address - Phone:973-676-6556
Practice Address - Fax:973-676-6543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health