Rejuvenating Lives Llc
LBN: Rejuvenating Lives Llc
Rejuvenating Lives Llc is an health care organization with primary practice located at 4913 Professional Ct Ste 202 , Raleigh NC 27609-1926. The organization recently has 12 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Managed Care Organizations / Point of Service, Transportation Services / Non-emergency Medical Transport (VAN), Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Illness, Child, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Home Health is the primary health care specialty.
Rejuvenating Lives Llc can be contacted via phone (919) 907-3512, or through Brown, Ebonie Kurtina-Jimeke via phone (919) 916-8100.
Contact Information
Primary practice address
4913 Professional Ct Ste 202
Raleigh NC 27609-1926
Phone: (919) 907-3512
Fax: (984) 377-4381
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | ||
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
Agencies / Day Training, Developmentally Disabled Services | 251C00000X | ||
Agencies / Home Health | 251E00000X | HC4151 | North Carolina |
Agencies / Community/Behavioral Health | 251S00000X | ||
Agencies / In Home Supportive Care | 253Z00000X | ||
Managed Care Organizations / Point of Service | 305S00000X | HC4151 | North Carolina |
Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | ||
Respite Care Facility / Respite Care | 385H00000X | HC4151 | North Carolina |
Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | ||
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X |
Profile Details
NPI number | 1245541069 |
---|---|
LBN Legal business name | Rejuvenating Lives Llc |
DBA Doing business as | |
Authorized official | Brown, Ebonie Kurtina-Jimeke |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 25th, 2010 |
Last updated | Feb 15th, 2024 - about 10 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245541069 | NPPES |
North Carolina | MEDICAID | 6602070 |
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