Organization Active NPI

Rehoboth Elderly Care and Companionship LLC

  • Home Health Agency
  • Baldwin, NY
National Provider Identifier
1073907952
Registry record updated Dec 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REHOBOTH ELDERLY CARE AND COMPANIONSHIP LLC
Doing business as
Riche REHOBOTH Home
Practice address
2322 Grand Ave
Baldwin, NY 11510-3169
Phone
(516) 719-0761
Fax
(516) 719-0762
NPI assigned
Mar 27, 2015
Organization subpart
Yes
Parent organization
REHOBOTH ELDERLY CARE AND COMPANIONSHIP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Berthony RicheNPI 1871987693
Title
Ceo/Founder
Phone
(516) 719-0761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

2322 Grand Ave
Baldwin, NY 11510-3169

Mailing address

2322 Grand Ave
Baldwin, NY 11510-3169
Phone (516) 719-0761

Other practice location 1

2322 Grand Ave
Baldwin, NY 11510-3169
Phone (516) 719-0761

Other names 1

  • Riche REHOBOTH Home Doing business as

National Provider Directory

National Provider Directory
Part of
Rehoboth Elderly Care and Companionship LLC

Locations

2322 Grand Ave
Baldwin, NY 11510
Phone (516) 433-1239

2545 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 508-2587

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703462400000",
    "number": "1073907952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103169",
            "telephone_number": "516-719-0761",
            "fax_number": "516-719-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103169",
            "telephone_number": "516-719-0761",
            "fax_number": "516-719-0762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2322 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Baldwin",
            "state": "NY",
            "postal_code": "115103169",
            "country_code": "US",
            "telephone_number": "516-719-0761",
            "fax_number": "516-719-0762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REHOBOTH ELDERLY CARE AND COMPANIONSHIP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REHOBOTH ELDERLY CARE AND COMPANIONSHIP LLC",
        "enumeration_date": "2015-03-27",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-25",
        "status": "A",
        "authorized_official_last_name": "RICHE",
        "authorized_official_first_name": "BERTHONY",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "516-719-0761"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riche REHOBOTH Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; 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.