Provider Demographics
NPI:1407392541
Name:RRB HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:RRB HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROTIMI
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:IBIDAPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-354-0203
Mailing Address - Street 1:501 CAMBRIA AVE
Mailing Address - Street 2:SUITE 111
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-7213
Mailing Address - Country:US
Mailing Address - Phone:267-354-0203
Mailing Address - Fax:
Practice Address - Street 1:501 CAMBRIA AVE
Practice Address - Street 2:SUITE 111
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-7213
Practice Address - Country:US
Practice Address - Phone:267-354-0203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health