Provider Demographics
NPI:1851601363
Name:REHOBOTH MEDICAL TRANSPORTATION AND EQUIPMENT SALES INC
Entity Type:Organization
Organization Name:REHOBOTH MEDICAL TRANSPORTATION AND EQUIPMENT SALES INC
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEKANMI
Authorized Official - Middle Name:
Authorized Official - Last Name:AROJOJOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-217-5591
Mailing Address - Street 1:575 W EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:IL
Mailing Address - Zip Code:60417-2003
Mailing Address - Country:US
Mailing Address - Phone:708-279-7879
Mailing Address - Fax:708-880-0702
Practice Address - Street 1:575 W EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:IL
Practice Address - Zip Code:60417-2003
Practice Address - Country:US
Practice Address - Phone:708-279-7879
Practice Address - Fax:708-880-0702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL001332B00000X, 332BC3200X, 332BN1400X, 335E00000X, 343800000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid