R.G. Therapy Services, Inc.
Organization Active NPI Home Health Agency · Maitland, FL
NPI 1629033014 · NPPES record last updated Mar 4, 2020
Key facts
- NPI
- 1629033014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- R.G. THERAPY SERVICES, INC.
- Practice address
- 630 N Maitland Ave
Maitland, FL 32751-4423 - Phone
- (407) 539-2488
- Fax
- (407) 539-2408
- NPI assigned
- Apr 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Rhonda Bejing Geib, PT
- Title
- Owner/Physical Therapist
- Phone
- (407) 539-2488
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 1
Affiliated clinicians 29
-
Jumana Al-Deek, DO
-
Ariel F. Cole, M.D.
-
Edmund F Delgado, MD
-
Florencio Vallejos Ello, M.D.
-
Sudha R Ganti, M.D.
-
Michael D. Gordon, M.D.
-
Kelly Higgins, ARNP
-
Daniel Harry Jacobs, M.D.
-
Zoe Jones, PA-C
-
Adnan Khan, M.D.
-
Amber Nicoal Lee, APRN, FNP-C
-
Amabel Tangunan Lubaton, ARNP
-
Hemant Prabhudas Painter, MD, MB.,BS
-
Jan C Parrillo, MD
-
Mitul N Shah, MD
-
Rishi Sharma, MD
Medicare Care Compare: Home health agency
- Listed as
- Legacy Home Health
- Overall star rating
- ★★★★★ 4.5 of 5
- Ownership
- Proprietary
- Certified
- Oct 22, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1094812 | Legacy Home Health | Certificate of waiver | Jan 27, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Home health agency certification: CCN 109458
- Legal name
- R.G. THERAPY SERVICES, INC.
- Doing business as
- LEGACY HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 22, 2009
- Last certification
- Nov 6, 2015
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Feb 8, 2002 in FL
- Enrollment address
- 630 N Maitland Ave
Maitland, FL 32751-4423
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Bei Ting Rhonda Geib |
5% Or Greater Direct Ownership Interest |
Mar 1, 2003 | 100% |
| W-2 Managing Employee |
Mar 1, 2003 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080531000086 | FL | Part a Provider - Home Health Agency | 0749350809 | Practice locations: Maitland, FL |
National Provider Directory
- Tax ID family
- RG Therapy Services Inc
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes | ||
| Physical Therapy Clinic/Center | 261QP2000X | PT17391 | FL |
Addresses
Primary practice location
630 N Maitland Ave
Maitland, FL 32751-4423
Mailing address
630 N Maitland Ave
Maitland, FL 32751-4423
Phone (407) 539-2488
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 887266000 | Medicaid | FL |
Other names
- Legacy Home Health
Other providers in Maitland, FL
- Chelsea Rachel Quereau
- Quest Counseling Centre, Inc
- Quest Counseling Group, LLC
- Yessica Quiros
- R.G. Therapy Services-2 Inc
- R&E Optical
- Radical Care, LLC
- Angelika S Raines
- Robin Raines
- Brooke Rainier
All providers in Maitland, FL · Home Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.