Provider Demographics
NPI:1467069294
Name:REHOBOTH HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:REHOBOTH HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLUSOLAPE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-348-3331
Mailing Address - Street 1:1551 WESCOTT LOOP
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-5615
Mailing Address - Country:US
Mailing Address - Phone:213-483-3313
Mailing Address - Fax:321-216-3157
Practice Address - Street 1:1551 WESCOTT LOOP
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-5615
Practice Address - Country:US
Practice Address - Phone:321-348-3331
Practice Address - Fax:321-216-3157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care