Provider Demographics
NPI:1679265649
Name:RAIN HEALTHCARE GROUP INC
Entity Type:Organization
Organization Name:RAIN HEALTHCARE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BUSUYI
Authorized Official - Middle Name:DICKSON
Authorized Official - Last Name:AJAYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-933-3599
Mailing Address - Street 1:45 TAHOE CIR APT B
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3751
Mailing Address - Country:US
Mailing Address - Phone:609-933-3599
Mailing Address - Fax:
Practice Address - Street 1:45 TAHOE CIR APT B
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3751
Practice Address - Country:US
Practice Address - Phone:609-933-3599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health