Organization Active NPI

Rehab at Home LLC

  • Home Health Agency
  • Leesburg, FL
National Provider Identifier
1871244970
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REHAB AT HOME LLC
Practice address
1310 W North Blvd # 3
Leesburg, FL 34748-3922
Phone
(352) 414-5901
Fax
(352) 493-9682
NPI assigned
Jan 11, 2022
Last updated
Jan 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Rafael Bona
Title
Managing Member
Phone
(352) 414-5901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1310 W North Blvd # 3
Leesburg, FL 34748-3922

Mailing address

1694 Bayhill Dr
Oldsmar, FL 34677-1956
Phone (727) 459-6615

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address manager@rehabathomeflorida.com Direct

National Provider Directory

National Provider Directory

Locations

1310 W North Blvd
#3
Leesburg, FL 34748
Phone (352) 414-5901

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1871244970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1694 BAYHILL DR",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346771956",
            "telephone_number": "727-459-6615",
            "fax_number": "352-493-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W NORTH BLVD # 3",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483922",
            "telephone_number": "352-414-5901",
            "fax_number": "352-493-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "BONA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "352-414-5901"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "manager@rehabathomeflorida.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1310 W North Blvd # 3",
            "city": "Leesburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347483922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.