Healthcare Provider Details

I. General information

NPI: 1518583392
Provider Name (Legal Business Name): RABOTA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2020
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 BISCAYNE BLVD SUITE 6206
MIAMI FL
33137-5300
US

IV. Provider business mailing address

2701 BISCAYNE BLVD APT 6206
MIAMI FL
33137-5300
US

V. Phone/Fax

Practice location:
  • Phone: 305-440-9292
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: ANNA WEATHERLY
Title or Position: DIRECTOR OF PATIENT CARE
Credential: J.D.
Phone: 305-440-9292