Provider Demographics
NPI:1578079067
Name:RAYZER SHARP ENTERPRISES INC.
Entity Type:Organization
Organization Name:RAYZER SHARP ENTERPRISES INC.
Other - Org Name:SENIORS HELPING SENIORS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:BALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-269-4483
Mailing Address - Street 1:802 LOVELL RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-3264
Mailing Address - Country:US
Mailing Address - Phone:865-269-4483
Mailing Address - Fax:865-288-7974
Practice Address - Street 1:802 LOVELL RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-3264
Practice Address - Country:US
Practice Address - Phone:865-269-4483
Practice Address - Fax:865-288-7974
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAYZER SHARP ENTERPRISE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-19
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000020884251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health