Provider Demographics
NPI:1669163705
Name:RANNAH HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:RANNAH HOME HEALTH CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEMBULO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-912-8187
Mailing Address - Street 1:2821 S PARKER RD STE 149
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2743
Mailing Address - Country:US
Mailing Address - Phone:720-912-8187
Mailing Address - Fax:
Practice Address - Street 1:2821 S PARKER RD STE 149
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2743
Practice Address - Country:US
Practice Address - Phone:720-912-8178
Practice Address - Fax:720-912-8178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care