Organization Active NPI

Rebekah Home Healthcare, LLC

  • Registered Nurse First Assistant
  • Randallstown, MD
National Provider Identifier
1073849154
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
R2800R Issued in MD
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

Updated by the provider on Oct 26, 2009

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)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 163WR0006X R2800R MD Primary
Rehabilitation Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WR0400X R2800R MD
School Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WS0200X R2800R MD
Urology Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WU0100X R2800R MD
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X R2800R MD
Ambulatory Women's Health Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0101X R2800R MD
Dialysis Equipment & Supplies (DME) 332BD1200X R2800R MD
Bus 347B00000X R2800R MD
Private Vehicle 347C00000X R2800R MD
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X R2800R MD
TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 374700000X R2800R MD
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X R2800R MD
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X R2800R MD
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X R2800R MD
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 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 LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.