NPIMap

Organization Active NPI

Rehoboth Healthcare LLC

  • Chore Provider
  • South River, NJ
National Provider Identifier
1104538446
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
Legal business name
REHOBOTH HEALTHCARE LLC
Practice address
27 Lark Dr
South River, NJ 08882-2605
Phone
(848) 203-2949
NPI assigned
Dec 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Mrs. Isi IgieborNPI 1346952686
Title
Owner
Phone
(848) 203-2949

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chore ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 372500000X Primary

Addresses

Primary practice location

27 Lark Dr
South River, NJ 08882-2605

Mailing address

27 Lark Dr
South River, NJ 08882-2605
Phone (848) 203-2949

National Provider Directory

National Provider Directory

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": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1104538446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 LARK DR",
            "city": "SOUTH RIVER",
            "state": "NJ",
            "postal_code": "088822605",
            "telephone_number": "848-203-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 LARK DR",
            "city": "SOUTH RIVER",
            "state": "NJ",
            "postal_code": "088822605",
            "telephone_number": "848-203-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "IGIEBOR",
        "authorized_official_first_name": "ISI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-203-2949",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.