Provider Demographics
NPI:1558854257
Name:RAIYNE'S CARING HEARTS, LLC
Entity Type:Organization
Organization Name:RAIYNE'S CARING HEARTS, LLC
Other - Org Name:RAIYNE'S CARING HEARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AREESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-325-0076
Mailing Address - Street 1:2537 JARROT DR
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-5349
Mailing Address - Country:US
Mailing Address - Phone:504-325-0076
Mailing Address - Fax:
Practice Address - Street 1:2537 JARROT DR
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-5349
Practice Address - Country:US
Practice Address - Phone:504-325-0076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-07
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service