Chris Arnold Rath

Individual provider Active NPI In Home Supportive Care Agency · Randolph, NE

NPI 1245036987 · NPPES record last updated Feb 24, 2025

Key facts

NPI
1245036987
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
56168 Sholes St
Randolph, NE 68771-6002
Phone
(402) 360-4107
NPI assigned
Feb 24, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

56168 Sholes St
Randolph, NE 68771-6002

Mailing address

56187 Sholes Ter
Randolph, NE 68771-6021
Phone (402) 360-4107

Other providers in Randolph, NE

All providers in Randolph, NE · In Home Supportive Care Agency in Nebraska

Sources for this page

Verify at the official NPI Registry.