Provider Demographics
NPI:1760864151
Name:RACHEAL HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:RACHEAL HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ODEYEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-747-1159
Mailing Address - Street 1:1600 6TH AVE STE 116B
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-2646
Mailing Address - Country:US
Mailing Address - Phone:717-747-1159
Mailing Address - Fax:717-893-2024
Practice Address - Street 1:320 LOUCKS RD STE 102
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-1752
Practice Address - Country:US
Practice Address - Phone:717-747-1159
Practice Address - Fax:717-893-2024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-23
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103102929-0002Medicaid