Provider Demographics
NPI:1508498247
Name:RHEMA SENIOR CARE AND COMPANION AID LLC
Entity Type:Organization
Organization Name:RHEMA SENIOR CARE AND COMPANION AID LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AKISSI
Authorized Official - Middle Name:T-C
Authorized Official - Last Name:AKA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:608-509-1919
Mailing Address - Street 1:7862 W IRLO BRONSON MEMORIAL HWY STE 530
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34747-1764
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7862 W IRLO BRONSON MEMORIAL HWY STE 530
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34747-1764
Practice Address - Country:US
Practice Address - Phone:608-509-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-11
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No347C00000XTransportation ServicesPrivate VehicleGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care