Organization
RAPHA HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ATINUKE LADIPO RN (DIRECTOR)
(612) 701-3760
Entity
Organization
Contact information
Practice address
7816 HUMBOLDT AVE N, BROOKLYN PARK, MN 55444-2140
(763) 208-6772
(763) 208-7924
Mailing address
3300 COUNTY ROAD 10 STE 525, BROOKLYN CENTER, MN 55429-3072
(612) 701-3760
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
385786
MN
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
385786
COMPREHENSIVE HOME CARE
MN
Enumeration date
05/01/2018
Last updated
01/22/2019
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