Healthcare Provider Details

I. General information

NPI: 1992515910
Provider Name (Legal Business Name): RUGI HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2025
Last Update Date: 01/11/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11244 BALSAM POINTE TRL
DAYTON MN
55327-3101
US

IV. Provider business mailing address

11244 BALSAM POINTE TRL
DAYTON MN
55327-3101
US

V. Phone/Fax

Practice location:
  • Phone: 908-414-1849
  • Fax:
Mailing address:
  • Phone: 908-414-1849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: PEACE KIBAARA
Title or Position: CEO
Credential:
Phone: 908-414-1849