Provider Demographics
NPI:1144105057
Name:RAW HOME HEALTH CARE SERVICE LLC
Entity type:Organization
Organization Name:RAW HOME HEALTH CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:RANADA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS-EDMONDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-760-5066
Mailing Address - Street 1:5645 E RAYMOND ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46203-4967
Mailing Address - Country:US
Mailing Address - Phone:317-550-5181
Mailing Address - Fax:317-550-0801
Practice Address - Street 1:5645 E RAYMOND ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203-4967
Practice Address - Country:US
Practice Address - Phone:317-550-5181
Practice Address - Fax:317-550-0801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health