Active NPI
Khen & Rachamin Health Servant'S, LLC
- Home Health Registered Nurse
- Riverview, FL
National Provider Identifier
1013730126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- Legal business name
- KHEN & RACHAMIN HEALTH SERVANT'S, LLC
- Practice address
- 12822 Early Run LN
Riverview, FL 33578-3376 - Phone
- (813) 404-3807
- NPI assigned
- Nov 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beverly June Eubanks, RN
- Title
- Owner
- Phone
- (813) 404-3807
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | Primary |
Addresses
Primary practice location
12822 Early Run LN
Riverview, FL 33578-3376
Mailing address
12822 Early Run LN
Riverview, FL 33578-3376
Phone (813) 404-3807
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730851200000",
"number": "1013730126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12822 EARLY RUN LN",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335783376",
"telephone_number": "813-404-3807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12822 EARLY RUN LN",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335783376",
"telephone_number": "813-404-3807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHEN & RACHAMIN HEALTH SERVANT'S, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-06",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A",
"authorized_official_last_name": "EUBANKS",
"authorized_official_first_name": "BEVERLY",
"authorized_official_middle_name": "JUNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-404-3807",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.