Provider Demographics
NPI:1457050155
Name:ST. RAPHAEL HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:ST. RAPHAEL HEALTH CARE SERVICES LLC
Other - Org Name:RIGHT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-638-5860
Mailing Address - Street 1:1031 BROOKFIELD DR
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-7093
Mailing Address - Country:US
Mailing Address - Phone:405-638-5860
Mailing Address - Fax:
Practice Address - Street 1:1031 BROOKFIELD DR
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-7093
Practice Address - Country:US
Practice Address - Phone:405-638-5860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty