Provider Demographics
NPI:1639803232
Name:REBIRTH HEALTHCARE INC.
Entity Type:Organization
Organization Name:REBIRTH HEALTHCARE INC.
Other - Org Name:REBIRTH HEALTHCARE INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NOZINE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH-FREDLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-298-4440
Mailing Address - Street 1:10700 CARIBBEAN BLVD STE 202-11
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-1224
Mailing Address - Country:US
Mailing Address - Phone:786-298-4440
Mailing Address - Fax:
Practice Address - Street 1:10700 CARIBBEAN BLVD STE 202-11
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-1224
Practice Address - Country:US
Practice Address - Phone:786-298-4440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-11
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3747A0650XMedicaid