Organization Active NPI

Rakeb Home Healthcare, LLC

  • Home Health Agency
  • Fredericksburg, VA
National Provider Identifier
1093499410
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RAKEB HOME HEALTHCARE, LLC
Doing business as
Rakeb Home Healthcare, LLC
Practice address
1320 Central Park Blvd Ste 245
Fredericksburg, VA 22401-4958
Phone
(703) 206-6922
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Bisrat FeredeNPI 1932894839
Title
Administer
Phone
(703) 206-6922

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 2

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

Addresses

Primary practice location

1320 Central Park Blvd Ste 245
Fredericksburg, VA 22401-4958

Mailing address

1320 Central Park Blvd Ste 245
Fredericksburg, VA 22401-4958
Phone (703) 206-6922

Other names 1

  • Rakeb Home Healthcare, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1320 Central Park Blvd
Ste 245
Fredericksburg, VA 22401
Phone (571) 275-9819

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": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1093499410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 CENTRAL PARK BLVD STE 245",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014958",
            "telephone_number": "703-206-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CENTRAL PARK BLVD STE 245",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014958",
            "telephone_number": "703-206-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAKEB HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "FEREDE",
        "authorized_official_first_name": "BISRAT",
        "authorized_official_title_or_position": "ADMINISTER",
        "authorized_official_telephone_number": "703-206-6922"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rakeb Home Healthcare, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rakeb Home Healthcare, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.