Rehoboth Health Care LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

REHOBOTH HEALTH CARE LLC

Practice address

7820 Maple Run CT
Glen Burnie, MD 21060-8667

Phone

(240) 595-7030

NPI assigned

Jul 5, 2023

Last updated

Jan 11, 2024By 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

Awa Odihi, NURSING, BSN, RNNPI 1700596574

Title

Ceo

Phone

(240) 595-7030

Specialties & licenses 1

Addresses

Other names 1

• Rehoboth Health Care LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Awa Odihi, RN

  • Registered Nurse
  • Glen Burnie, MD
  • NPI 1700596574
  NPD Authorized official

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1881371474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 MAPLE RUN CT",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608667",
            "telephone_number": "240-595-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 MAPLE RUN CT",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608667",
            "telephone_number": "240-595-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "ODIHI",
        "authorized_official_first_name": "AWA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-595-7030",
        "authorized_official_credential": "NURSING, BSN, RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehoboth Health Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Registered Nurse in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.