Provider Demographics
NPI:1437718525
Name:RHEMA HOMES LLC
Entity Type:Organization
Organization Name:RHEMA HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ADEYOSOLA
Authorized Official - Last Name:AMUSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-442-1720
Mailing Address - Street 1:7790 HIGHPOINTE RD
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-1633
Mailing Address - Country:US
Mailing Address - Phone:514-421-7206
Mailing Address - Fax:
Practice Address - Street 1:7790 HIGHPOINTE RD
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-1633
Practice Address - Country:US
Practice Address - Phone:651-330-8842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-12
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty