MEDICARE: REBEKAH REHAB LICENSED HOME CARE SERVICES AGENCY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1972137016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REBEKAH REHAB LICENSED HOME CARE SERVICES AGENCY INC

Provider Business Mailing Address
First Line	:	1070 HAVEMEYER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-5310
Country	:	US
Telephone Number	:	718-863-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1070 HAVEMEYER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-5310
Country	:	US
Telephone Number	:	718-863-6200
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. KENNETH GELB
Credential	:
Telephone Number	:	718-863-6200

Provider Enumeration Date	:	02/27/2020
Last Update Date	:	02/02/2023

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