Healthcare Provider Details

I. General information

NPI: 1619623949
Provider Name (Legal Business Name): RB FAMILY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2022
Last Update Date: 09/01/2022
Certification Date: 09/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8486 FRIEDEN TRL
MEMPHIS TN
38125-3348
US

IV. Provider business mailing address

555 S B B KING BLVD UNIT 1420
MEMPHIS TN
38101-1060
US

V. Phone/Fax

Practice location:
  • Phone: 901-860-1885
  • Fax:
Mailing address:
  • Phone: 662-576-1085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: CITY RYD
Title or Position: OWNER / ADMINISTRATOR
Credential:
Phone: 901-609-5635