Organization Active NPI

Rahab & Associates LLC

  • Durable Medical Equipment & Medical Supplies
  • Hayward, CA
National Provider Identifier
1326161852
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RAHAB & ASSOCIATES LLC
Doing business as
rahab medical supply
Practice address
826 B St
Hayward, CA 94541-5108
Phone
(510) 727-9636
Fax
(510) 727-9662
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Lucky Iselen
Title
President
Phone
(510) 727-9636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X CA Primary

Addresses

Primary practice location

826 B St
Hayward, CA 94541-5108

Mailing address

826 B St
Hayward, CA 94541-5108
Phone (510) 727-9636

Other names 1

  • rahab medical supply Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930087517 CA DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 1153526231 Practice locations: Hayward, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rahab Medical Supply826 B St, Hayward, CA 94541-5108(510) 727-9636 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Enteral Nutrients|Ent… Accepts assignmentParticipating since Jan 1, 2008

National Provider Directory

National Provider Directory
Tax ID family
Rahab Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

915 C St
Hayward, CA 94541
Phone (510) 727-9636

826 B St
Hayward, CA 94541
Phone (510) 727-9636

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1326161852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 B ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945415108",
            "telephone_number": "510-727-9636",
            "fax_number": "510-727-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 B ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945415108",
            "telephone_number": "510-727-9636",
            "fax_number": "510-727-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHAB & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "ISELEN",
        "authorized_official_first_name": "LUCKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-727-9636"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "rahab medical supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.