Provider Demographics
NPI:1013730126
Name:KHEN & RACHAMIN HEALTH SERVANT'S, LLC
Entity type:Organization
Organization Name:KHEN & RACHAMIN HEALTH SERVANT'S, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:EUBANKS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:813-404-3807
Mailing Address - Street 1:12822 EARLY RUN LN
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-3376
Mailing Address - Country:US
Mailing Address - Phone:813-404-3807
Mailing Address - Fax:
Practice Address - Street 1:12822 EARLY RUN LN
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-3376
Practice Address - Country:US
Practice Address - Phone:813-404-3807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty