Provider Demographics
NPI:1972984771
Name:RAPHA INC
Entity Type:Organization
Organization Name:RAPHA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SENI
Authorized Official - Middle Name:
Authorized Official - Last Name:OBASANYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-644-4442
Mailing Address - Street 1:70 IBERIS LN
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-2324
Mailing Address - Country:US
Mailing Address - Phone:732-573-0358
Mailing Address - Fax:732-573-0359
Practice Address - Street 1:70 IBERIS LN
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-2324
Practice Address - Country:US
Practice Address - Phone:732-573-0358
Practice Address - Fax:732-573-0359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-17
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJGH1117253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care