Provider Demographics
NPI:1144438920
Name:RHEMA HEALTH CARE LLC
Entity type:Organization
Organization Name:RHEMA HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FORDIA
Authorized Official - Middle Name:DOREEN
Authorized Official - Last Name:MCCARTHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-200-2008
Mailing Address - Street 1:17800 NORTHLAND PARK CT
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4304
Mailing Address - Country:US
Mailing Address - Phone:248-200-2008
Mailing Address - Fax:248-200-2112
Practice Address - Street 1:17800 NORTHLAND PARK CT
Practice Address - Street 2:SUITE 105
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4304
Practice Address - Country:US
Practice Address - Phone:248-200-2008
Practice Address - Fax:248-200-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704149655251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI7345207Medicaid