Provider Demographics
NPI:1780317255
Name:RJ HOMECARE SOLUTIONS LLC
Entity type:Organization
Organization Name:RJ HOMECARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JASPER
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:PLOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-293-2933
Mailing Address - Street 1:528 FAIRFIELD ST N
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-6132
Mailing Address - Country:US
Mailing Address - Phone:208-293-2933
Mailing Address - Fax:
Practice Address - Street 1:528 FAIRFIELD ST N
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-6132
Practice Address - Country:US
Practice Address - Phone:208-293-2933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-02
Last Update Date:2022-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health