Provider Demographics
NPI:1265201743
Name:REHOBOTH HOME CARE INC LLC
Entity type:Organization
Organization Name:REHOBOTH HOME CARE INC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NEHLA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMBOUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-513-6632
Mailing Address - Street 1:9900 MASON RD APT 3303
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-0065
Mailing Address - Country:US
Mailing Address - Phone:781-513-6632
Mailing Address - Fax:
Practice Address - Street 1:9900 MASON RD APT 3303
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-0065
Practice Address - Country:US
Practice Address - Phone:781-513-6632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-26
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty