Active NPI
Rebekah Home Healthcare, LLC
- Registered Nurse First Assistant
- Randallstown, MD
National Provider Identifier
1073849154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- R2800R
- Legal business name
- REBEKAH HOME HEALTHCARE, LLC
- Practice address
- 3829 Kilburn Rd
Randallstown, MD 21133-4655 - Phone
- (410) 922-2617
- Fax
- (410) 922-4620
- NPI assigned
- Oct 26, 2009
- 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
- Ms. Gloria Lynn Brown- Bristol
- Title
- Founder Ceo/ Excutive Offer
- Phone
- (410) 922-2617
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | R2800R | MD | Primary |
| Rehabilitation Registered Nurse | 163WR0400X | R2800R | MD | |
| School Registered Nurse | 163WS0200X | R2800R | MD | |
| Urology Registered Nurse | 163WU0100X | R2800R | MD | |
| Wound Care Registered Nurse | 163WW0000X | R2800R | MD | |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | R2800R | MD | |
| Dialysis Equipment & Supplies (DME) | 332BD1200X | R2800R | MD | |
| Bus | 347B00000X | R2800R | MD | |
| Private Vehicle | 347C00000X | R2800R | MD | |
| Adult Companion | 372600000X | R2800R | MD | |
| Technician | 374700000X | R2800R | MD | |
| Attendant Care Provider | 3747A0650X | R2800R | MD | |
| Home Health Aide | 374U00000X | R2800R | MD | |
| Homemaker | 376J00000X | R2800R | MD | |
| Nurse's Aide | 376K00000X | R2800R | MD |
Addresses
Primary practice location
3829 Kilburn Rd
Randallstown, MD 21133-4655
Mailing address
3829 Kilburn Rd
Randallstown, MD 21133-4655
Phone (410) 922-2617
National Provider Directory
National Provider Directory- Tax ID family
- Rebekah Home Healthcare LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Randallstown, MD
- NPI 1164758249
-
- Case Management Agency
- Randallstown, MD
- NPI 1699900449
-
- Home Health Agency
- Randallstown, MD
- NPI 1083949655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256515200000",
"number": "1073849154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3829 KILBURN RD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211334655",
"telephone_number": "410-922-2617",
"fax_number": "410-922-4620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3829 KILBURN RD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211334655",
"telephone_number": "410-922-2617",
"fax_number": "410-922-4620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBEKAH HOME HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-26",
"last_updated": "2009-10-26",
"status": "A",
"authorized_official_last_name": "BROWN- BRISTOL",
"authorized_official_first_name": "GLORIA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "FOUNDER CEO/ EXCUTIVE OFFER",
"authorized_official_telephone_number": "410-922-2617",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "MD",
"license": "R2800R",
"primary": true
},
{
"code": "163WR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Rehabilitation",
"state": "MD",
"license": "R2800R",
"primary": false
},
{
"code": "163WS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, School",
"state": "MD",
"license": "R2800R",
"primary": false
},
{
"code": "163WU0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Urology",
"state": "MD",
"license": "R2800R",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": "MD",
"license": "R2800R",
"primary": false
},
{
"code": "163WW0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "MD",
"license": "R2800R",
"primary": false
},
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": "MD",
"license": "R2800R",
"primary": false
},
{
"code": "347B00000X",
"taxonomy_group": "",
"desc": "Bus",
"state": "MD",
"license": "R2800R",
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "MD",
"license": "R2800R",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": "MD",
"license": "R2800R",
"primary": false
},
{
"code": "374700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician",
"state": "MD",
"license": "R2800R",
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": "MD",
"license": "R2800R",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "MD",
"license": "R2800R",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": "MD",
"license": "R2800R",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "MD",
"license": "R2800R",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Randallstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.