MEDICARE: REBUILT HEALTHCARE 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1437000163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REBUILT HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	5000 THAYER CTR STE C
Second Line	:
City	:	OAKLAND
State	:	MD
Zip	:	21550-1139
Country	:	US
Telephone Number	:	410-734-2154
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 THAYER CTR STE C
Second Line	:
City	:	OAKLAND
State	:	MD
Zip	:	21550-1139
Country	:	US
Telephone Number	:	410-734-2154
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. YEHUDAH AARON ADLER
Credential	:
Telephone Number	:	410-734-2154

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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