Rehema Homecare

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BH4511 Issued in AZ

Legal business name

REHEMA HOMECARE

Practice address

12236 N 49TH Dr
Glendale, AZ 85304-2214

Phone

(623) 755-4931

Fax

(602) 843-3473

NPI assigned

Dec 10, 2014

Last updated

Dec 10, 2014By 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

Ms. Zeituni Jelagat Kiprotich

Title

Administrator

Phone

(623) 755-4931

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1518365386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12236 N 49TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042214",
            "telephone_number": "623-755-4931",
            "fax_number": "602-843-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12236 N 49TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042214",
            "telephone_number": "623-755-4931",
            "fax_number": "602-843-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHEMA HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "KIPROTICH",
        "authorized_official_first_name": "ZEITUNI",
        "authorized_official_middle_name": "JELAGAT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-755-4931",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH4511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BH4511",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.