Provider Demographics
NPI:1013280726
Name:RA SHEPHERD HOLDINGS, INC.
Entity Type:Organization
Organization Name:RA SHEPHERD HOLDINGS, INC.
Other - Org Name:ALWAYS BEST CARE SENIOR SERVICES YARDLEY-NEWTOWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHEPHERD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-499-7774
Mailing Address - Street 1:1669 EDGEWOOD RD STE 205
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-5573
Mailing Address - Country:US
Mailing Address - Phone:215-499-7774
Mailing Address - Fax:877-624-7511
Practice Address - Street 1:1669 EDGEWOOD RD STE 205
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-5573
Practice Address - Country:US
Practice Address - Phone:215-499-7774
Practice Address - Fax:877-624-7511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2013601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health