Provider Demographics
NPI:1922046085
Name:RAC & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:RAC & ASSOCIATES, INC.
Other - Org Name:SPECIALCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:RACCIATO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:858-694-5800
Mailing Address - Street 1:9541 RIDGEHAVEN CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1624
Mailing Address - Country:US
Mailing Address - Phone:858-694-5800
Mailing Address - Fax:760-407-8293
Practice Address - Street 1:9541 RIDGEHAVEN CT
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1624
Practice Address - Country:US
Practice Address - Phone:858-694-5800
Practice Address - Fax:858-751-0204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45003332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1922046085Medicaid