Provider Demographics
NPI:1891494654
Name:RAHCO ST. LOUIS, LLC
Entity type:Organization
Organization Name:RAHCO ST. LOUIS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSURE SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:
Authorized Official - Last Name:GUILFOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-697-7537
Mailing Address - Street 1:6700 MERCY RD STE 400
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-2629
Mailing Address - Country:US
Mailing Address - Phone:402-697-7537
Mailing Address - Fax:
Practice Address - Street 1:121 HUNTER AVE STE 201
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-2083
Practice Address - Country:US
Practice Address - Phone:314-567-5545
Practice Address - Fax:314-220-4972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care