Organization Active NPI

Khen & Rachamin Health Servant'S, LLC

  • Home Health Registered Nurse
  • Riverview, FL
National Provider Identifier
1013730126
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
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

Updated by the provider on Nov 6, 2024

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)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.