Provider Demographics
NPI:1487399788
Name:REHOBOTH HOME CARE,LLC
Entity type:Organization
Organization Name:REHOBOTH HOME CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:OSEI-KWAKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-608-6754
Mailing Address - Street 1:15156 GOLF VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169-3148
Mailing Address - Country:US
Mailing Address - Phone:703-608-6754
Mailing Address - Fax:
Practice Address - Street 1:15156 GOLF VIEW DR
Practice Address - Street 2:
Practice Address - City:HAYMARKET
Practice Address - State:VA
Practice Address - Zip Code:20169-3148
Practice Address - Country:US
Practice Address - Phone:703-608-6754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)