Provider Demographics
NPI:1972659258
Name:RA 1, INC.
Entity Type:Organization
Organization Name:RA 1, INC.
Other - Org Name:COMFORT KEEPERS OF CENTRAL JERSEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:ROBISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-530-3636
Mailing Address - Street 1:130 MAPLE AVE
Mailing Address - Street 2:SUITE 10A
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-1734
Mailing Address - Country:US
Mailing Address - Phone:732-530-3636
Mailing Address - Fax:732-758-9972
Practice Address - Street 1:130 MAPLE AVE
Practice Address - Street 2:SUITE 10A
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1734
Practice Address - Country:US
Practice Address - Phone:732-530-3636
Practice Address - Fax:732-758-9972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2011-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0026900251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health