RRB Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RRB HOME HEALTHCARE LLC

Practice address

501 Cambria Ave
Suite 111
Bensalem, PA 19020-7213

Phone

(267) 354-0203

NPI assigned

Jan 12, 2017

Last updated

Jan 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rotimi Benjamin Ibidapo

Title

Ceo

Phone

(267) 354-0203

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407392541. Details of each certification follow.

• CCN 398318 Home health agency · Active · Details

Home health agency certification: CCN 398318

Legal name

RRB HOME HEALTHCARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 4, 2020

Last certification

Feb 21, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Dec 21, 2016 in PA

Enrollment address

501 Cambria Ave
Ste 111
Bensalem, PA 19020-7213

Listed as

RRB Home Healthcare, LLCCCN 398318 · All quality measures

Ownership

Proprietary

Certified

Mar 4, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Physical therapy

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1407392541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CAMBRIA AVE",
            "address_2": "SUITE 111",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190207213",
            "telephone_number": "267-354-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CAMBRIA AVE",
            "address_2": "SUITE 111",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190207213",
            "telephone_number": "267-354-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RRB HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "IBIDAPO",
        "authorized_official_first_name": "ROTIMI",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-354-0203"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.