Healthcare Provider Details

I. General information

NPI: 1902736069
Provider Name (Legal Business Name): REHOBOTH IMPACT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 SPOONBILL TRL
DURHAM NC
27703-2490
US

IV. Provider business mailing address

801 SPOONBILL TRL
DURHAM NC
27703-2490
US

V. Phone/Fax

Practice location:
  • Phone: 919-638-5335
  • Fax:
Mailing address:
  • Phone: 919-638-5335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EMMANUEL JOSEPH
Title or Position: MANAGING DIRECTOR
Credential: RN
Phone: 919-454-0839