Provider Demographics
NPI:1659949139
Name:RDK HEALTHCARE LLC
Entity Type:Organization
Organization Name:RDK HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:PALAK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOPRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-504-0757
Mailing Address - Street 1:337 N VINEYARD AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91764-4436
Mailing Address - Country:US
Mailing Address - Phone:800-504-0757
Mailing Address - Fax:
Practice Address - Street 1:337 N VINEYARD AVE STE 400
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-4436
Practice Address - Country:US
Practice Address - Phone:800-504-0757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based