Healthcare Provider Details

I. General information

NPI: 1023932811
Provider Name (Legal Business Name): REHOBOTH HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1424 E MEADOW LN
OLATHE KS
66062-5717
US

IV. Provider business mailing address

1424 E MEADOW LN
OLATHE KS
66062-5717
US

V. Phone/Fax

Practice location:
  • Phone: 913-242-2610
  • Fax: 913-285-8962
Mailing address:
  • Phone: 913-242-2610
  • Fax: 913-285-8962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: LUCY NJOGU
Title or Position: OWNER OPERATOR
Credential:
Phone: 913-242-2610