Provider Demographics
NPI:1013307065
Name:RB HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:RB HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUMPRHIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-255-5630
Mailing Address - Street 1:321 ARNOLD AVE
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-1061
Mailing Address - Country:US
Mailing Address - Phone:248-255-5630
Mailing Address - Fax:
Practice Address - Street 1:321 ARNOLD AVE
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-1061
Practice Address - Country:US
Practice Address - Phone:248-255-5630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-29
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI000000000164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty