Provider Demographics
NPI:1093403131
Name:REHOBOTH NEMT
Entity Type:Organization
Organization Name:REHOBOTH NEMT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHEWIT
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHASAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-503-5732
Mailing Address - Street 1:195 41ST P.O.BOX 11220
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4124 EMERALD ST APT 7
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-2648
Practice Address - Country:US
Practice Address - Phone:602-503-5732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)