Provider Demographics
NPI:1871046623
Name:RC HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:RC HOME CARE SERVICES, INC.
Other - Org Name:COCHRAN HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:COCHRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-314-2561
Mailing Address - Street 1:16420 SE MCGILLIVRAY BLVD
Mailing Address - Street 2:SUITE 103-357
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-3461
Mailing Address - Country:US
Mailing Address - Phone:360-314-2561
Mailing Address - Fax:360-314-2943
Practice Address - Street 1:4555 NE 66TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-3181
Practice Address - Country:US
Practice Address - Phone:360-314-2561
Practice Address - Fax:360-314-2943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-28
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIHS.FS.60199563251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health