Rejuvenating Lives LLC
Home Health in Raleigh, NC. Organization (NPI-2).
NPI number1245541069
StatusActive
Last updated in NPPESFeb 15, 2024
Details
- NPI
- 1245541069
- Entity type
- Organization (NPI-2)
- Legal business name
- Rejuvenating Lives LLC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2010
- Certification date
- Feb 15, 2024
- Last updated
- Feb 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | HC4151 | NC | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 106E00000X | Assistant Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 305S00000X | Point of Service | HC4151 | NC | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 385H00000X | Respite Care | HC4151 | NC | |
| 385HR2055X | Respite Care, Respite Care, Mental Illness, Child | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – |
Practice location
4913 Professional Ct Ste 202Raleigh, NC 27609-1926
Phone 919-907-3512 · Fax 984-377-4381
Mailing address
4913 Professional Ct Ste 202Raleigh, NC 27609-1926
Phone 919-916-8100 · Fax 984-377-4381
Authorized official
Ebonie Kurtina-Jimeke Brown
Owner
9199168100
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All 247 Home Health Agency providers in Raleigh · All 22,031 providers in Raleigh
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