Provider Demographics
NPI:1871265140
Name:RAPHA CARE
Entity Type:Organization
Organization Name:RAPHA CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTATOR / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AGATHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-899-2476
Mailing Address - Street 1:2296 TORCH LAKE DR
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-0877
Mailing Address - Country:US
Mailing Address - Phone:817-899-2476
Mailing Address - Fax:
Practice Address - Street 1:2296 TORCH LAKE DR
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-0877
Practice Address - Country:US
Practice Address - Phone:817-899-2476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX25236755OtherPERSONAL ASSISTANCE SERVICES