Provider Demographics
NPI:1073907952
Name:REHOBOTH ELDERLY CARE AND COMPANIONSHIP LLC
Entity Type:Organization
Organization Name:REHOBOTH ELDERLY CARE AND COMPANIONSHIP LLC
Other - Org Name:RICHE REHOBOTH HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:BERTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-719-0761
Mailing Address - Street 1:2322 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-3169
Mailing Address - Country:US
Mailing Address - Phone:516-719-0761
Mailing Address - Fax:516-719-0762
Practice Address - Street 1:2322 GRAND AVE
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-3169
Practice Address - Country:US
Practice Address - Phone:516-719-0761
Practice Address - Fax:516-719-0762
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REHOBOTH ELDERLY CARE AND COMPANIONSHIP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-27
Last Update Date:2023-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care