Provider Demographics
NPI:1609577261
Name:RL HOMES LLC
Entity Type:Organization
Organization Name:RL HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RASHIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-947-4900
Mailing Address - Street 1:6670 KALAMAZOO AVE SE STE D126
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49508-7856
Mailing Address - Country:US
Mailing Address - Phone:616-947-4900
Mailing Address - Fax:
Practice Address - Street 1:445 MAETHY ST SE
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49548-1219
Practice Address - Country:US
Practice Address - Phone:616-947-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care