Rebekah Home Healthcare, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

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

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 Officer

Phone

(410) 922-2617

Specialties & licenses 15

Addresses

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.

• Rebekah Home Healthcare, LLC

  • Registered Nurse First Assistant
  • Randallstown, MD
  • NPI 1073849154
  NPD tax ID
• Rebekah Home Healthcare, LLC

  • Case Management Agency
  • Randallstown, MD
  • NPI 1699900449
  NPD tax ID
• Rebekah Home Healthcare,LLC

  • Home Health Agency
  • Randallstown, MD
  • NPI 1083949655
  NPD tax ID

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": "1164758249",
    "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 OFFICER",
        "authorized_official_telephone_number": "410-922-2617",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "R2800R",
            "primary": true
        },
        {
            "code": "132700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietary Manager",
            "state": "MD",
            "license": "R2800R",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "R2800R",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MD",
            "license": "R2800R",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "R2800R",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "MD",
            "license": "R2800R",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MD",
            "license": "R2800R",
            "primary": false
        },
        {
            "code": "136A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietetic Technician, Registered",
            "state": "MD",
            "license": "R2800R",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R2800R",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "R2800R",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "MD",
            "license": "R2800R",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "MD",
            "license": "R2800R",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "MD",
            "license": "R2800R",
            "primary": false
        },
        {
            "code": "163WC3500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "MD",
            "license": "R2800R",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MD",
            "license": "R2800R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karuparthy Seshagiri Rao, M.D.,
• Chaitanya Kumar Ravi, M.D.
• Asia Ebony Ray
• Qasim Raza, MD
• Rebekah Home Healthcare, LLC
• Rebekah Home Healthcare, LLC
• Rebekah Home Healthcare,LLC
• Samantha Reich, LCSW-C
• Rejuvaris
• Reliable Assisted Living and Training

• Behavior Analyst in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Behavior Analyst in Maryland

• 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.