Rebecca's House Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10610 Issued in FL

Legal business name

REBECCA'S HOUSE INC.

Practice address

6711 NW 46TH CT
Lauderhill, FL 33319-4022

Phone

(954) 748-8487

NPI assigned

May 25, 2012

Last updated

May 25, 2012By 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

Tennsy Fishley

Title

Administrator

Phone

(954) 748-8487

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1528328473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 NW 46TH CT",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333194022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 NW 46TH CT",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333194022",
            "telephone_number": "954-748-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA'S HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "FISHLEY",
        "authorized_official_first_name": "TENNSY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-748-8487"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "10610",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Rappaport, SLP-CF
• David Rawlerson
• Demetria Jackson Rawls, MA, CCC-SLP
• RBL Medical Transport LLC
• Rebecca's House
• Andrew Earl Reid, PA-C
• Lydia Dachell Reid, SLPD
• Morrie Reid
• Rita A. Reik, M.D.
• Reliable Radiographics

• Assisted Living Facility in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.