St. Raphael Health Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ST. RAPHAEL HEALTH CARE SERVICES LLC

Practice address

1111 W Mockingbird LN Ste 1330
Dallas, TX 75247-5013

Phone

(405) 638-5860

NPI assigned

Mar 1, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jobin Mathai

Title

Ceo

Phone

(405) 638-5860

Specialties & licenses 2

Addresses

Other names 1

• Right At Home Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1457050155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W MOCKINGBIRD LN STE 1330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752475013",
            "telephone_number": "405-638-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W MOCKINGBIRD LN STE 1330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752475013",
            "telephone_number": "405-638-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. RAPHAEL HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "MATHAI",
        "authorized_official_first_name": "JOBIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-638-5860"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right At Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Right At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.