Provider Demographics
NPI:1932816782
Name:N & R INTEGRATED HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:N & R INTEGRATED HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR/DPCS
Authorized Official - Prefix:
Authorized Official - First Name:RAUFAT
Authorized Official - Middle Name:
Authorized Official - Last Name:IKHARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-812-2188
Mailing Address - Street 1:200 W CYPRESS RD STE A
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94561-3267
Mailing Address - Country:US
Mailing Address - Phone:510-812-2188
Mailing Address - Fax:
Practice Address - Street 1:200 W CYPRESS RD STE A
Practice Address - Street 2:
Practice Address - City:OAKLEY
Practice Address - State:CA
Practice Address - Zip Code:94561-3267
Practice Address - Country:US
Practice Address - Phone:510-812-2188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health