NPI Code Details Logo

NPI 1477830222

NPI 1477830222 : RWW HOME & COMMUNITY REHAB SERVICES, INC. : UPLAND, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1477830222
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    RWW HOME & COMMUNITY REHAB SERVICES, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/08/2011
-----------------------------------------------------
    Last Update Date     |    06/07/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1317 W FOOTHILL BLVD STE 130 
-----------------------------------------------------
    City                 |    UPLAND
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91786-3684
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-741-1164
-----------------------------------------------------
    Fax                  |    855-218-0210
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    805 N WHITTINGTON PKWY 
-----------------------------------------------------
    City                 |    LOUISVILLE
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    40222-7101
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-866-0860
-----------------------------------------------------
    Fax                  |    502-394-2159
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VICE PRESIDENT
-----------------------------------------------------
    Name                 |     MARGARET SHERRY PEMBERTON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    800-866-0860
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.