MEDICARE: RABICORE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1154920742
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RABICORE LLC

Provider Business Mailing Address
First Line	:	15500 VOSS RD STE 580
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-4601
Country	:	US
Telephone Number	:	832-944-6119
Fax Number	:	281-749-8130

Provider Business Practice Location Address
First Line	:	15500 VOSS RD STE 580
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-4601
Country	:	US
Telephone Number	:	832-944-6119
Fax Number	:	281-749-8130

Authorized Official
Title or Position	:	ADMINISTRATOR/OWNER
Name	:	RABI EGUNJOBI
Credential	:
Telephone Number	:	832-859-7373

Provider Enumeration Date	:	10/23/2020
Last Update Date	:	08/11/2021

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