# REBEKAH HOME HEALTHCARE,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083949655
- **Authorized official:** MS. GLOIRA LYNN BROWN- BRISTOL (FOUNDER CEO/ EXCUTIVE OFFICE)
- **Authorized official phone:** (410) 922-2617

## Contact information

- **Practice address:** 3829 KILBURN RD, RANDALLSTOWN, MD 21133-4655
- **Practice address phone:** (410) 922-2617
- **Practice address fax:** (410) 922-4620
- **Mailing address:** 3829 KILBURN RD, RANDALLSTOWN, MD 21133-4655
- **Mailing address phone:** (410) 922-2617
- **Mailing address fax:** (410) 922-4620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA2000X | Administrator Registered Nurse | R2800R | MD | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | R2800R | MD | — |
| 251E00000X | Home Health Agency | R2800R | MD | Yes |
| 251G00000X | Community Based Hospice Care Agency | R2800R | MD | — |
| 251J00000X | Nursing Care Agency | R2800R | MD | — |
| 305R00000X | Preferred Provider Organization | R2800R | MD | — |
| 305S00000X | Point of Service | R2800R | MD | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | R2800R | MD | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | R2800R | MD | — |
| 324500000X | Substance Abuse Rehabilitation Facility | R2800R | MD | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | R2800R | MD | — |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | R2800R | MD | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | R2800R | MD | — |
| 332U00000X | Home Delivered Meals | R2800R | MD | — |
| 333600000X | Pharmacy | R2800R | MD | — |

## Other

- **Enumeration date:** 10/15/2009
- **Last updated:** 10/15/2009