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General NPI Number Information
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NPI Number | 1578378550
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Entity Type | Organization
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Legal Business Name | REHOBOTH HOMECARE LLC
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Dates
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Enumeration Date | 02/08/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 1233 WESTFIELD ST STE 4
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-3807
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Country | US
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Telephone | 413-285-0287
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Fax |
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Provider Business Mailing Address
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Address Line | 1233 WESTFIELD ST
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-3806
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Country | US
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Telephone | 413-285-0287
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GODFRED ANSAH
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Credential |
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Telephone | 413-330-6797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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