Provider Demographics
NPI:1568404176
Name:RR HEALTHCARE AND ASSOCIATES LLC
Entity Type:Organization
Organization Name:RR HEALTHCARE AND ASSOCIATES LLC
Other - Org Name:INTERIM HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:YANIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTOLONGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-978-1499
Mailing Address - Street 1:9050 PINES BLVD
Mailing Address - Street 2:SUITE 384
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6455
Mailing Address - Country:US
Mailing Address - Phone:954-978-1499
Mailing Address - Fax:954-978-6996
Practice Address - Street 1:9050 PINES BLVD
Practice Address - Street 2:SUITE 384
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6455
Practice Address - Country:US
Practice Address - Phone:954-978-1499
Practice Address - Fax:954-978-6996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA205630961251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650688701Medicaid
FL103109Medicare Oscar/Certification