Provider Demographics
NPI:1871036442
Name:RAYSEN CARE SERVICES LLC
Entity type:Organization
Organization Name:RAYSEN CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SENEDU
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHERROD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-494-0447
Mailing Address - Street 1:3297 ORCHARD LAKE RD UNIT 200
Mailing Address - Street 2:
Mailing Address - City:KEEGO HARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48320-1305
Mailing Address - Country:US
Mailing Address - Phone:248-494-0447
Mailing Address - Fax:248-439-0517
Practice Address - Street 1:3297 ORCHARD LAKE RD # 200
Practice Address - Street 2:
Practice Address - City:KEEGO HARBOR
Practice Address - State:MI
Practice Address - Zip Code:48320-1305
Practice Address - Country:US
Practice Address - Phone:248-494-0447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-29
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No251E00000XAgenciesHome Health
No372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty