Rejuvenation Healthcare Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

REJUVENATION HEALTHCARE SERVICES

Practice address

1483 Macarthur Blvd
Oakland, CA 94602-1045

Phone

(510) 479-1353

NPI assigned

Oct 23, 2009

Organization subpart

No

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

Authorized official

Name

Fossette Legina Moore, LVN

Title

Home Health Director

Phone

(510) 479-1353

Specialties & licenses 1

Addresses

Other names 1

• Ansun Doing business as

Locations

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1336475466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 MACARTHUR BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021045",
            "telephone_number": "510-479-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 MACARTHUR BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021045",
            "telephone_number": "510-479-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATION HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "FOSSETTE",
        "authorized_official_middle_name": "LEGINA",
        "authorized_official_title_or_position": "HOME HEALTH DIRECTOR",
        "authorized_official_telephone_number": "510-479-1353",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ansun",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark S. Reisman, MD
• Kinderly Reiter
• Mehera Reiter, LCSW
• Samuel Reiter
• Torfeh Rejali
• Reliable Care Express, Inc.
• Bindoo Rellan, MD
• Alyssa Relos
• Jessica Jean Remer Gable, BSW
• Reina Remigio, PHD

• Home Health Agency in Oakland, CA
• Providers in Oakland, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.