Provider Demographics
NPI:1639696693
Name:QURA HEALTHCARE INC
Entity Type:Organization
Organization Name:QURA HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GERMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RACHKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-281-4414
Mailing Address - Street 1:4993 GOLDEN FOOTHILL PKWY STE 2
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-9642
Mailing Address - Country:US
Mailing Address - Phone:916-936-4231
Mailing Address - Fax:916-936-4865
Practice Address - Street 1:4993 GOLDEN FOOTHILL PKY
Practice Address - Street 2:SUITE 2
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95672
Practice Address - Country:US
Practice Address - Phone:916-936-4231
Practice Address - Fax:916-936-4865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-29
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA559019OtherPROVIDER NUMBER