Provider Demographics
NPI:1730811068
Name:RWW HOME & COMMUNITY REHAB SERVICES, INC.
Entity type:Organization
Organization Name:RWW HOME & COMMUNITY REHAB SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:SHERRY
Authorized Official - Last Name:PEMBERTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-272-3466
Mailing Address - Street 1:14 MANCHESTER SQ STE 150
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7866
Mailing Address - Country:US
Mailing Address - Phone:207-282-3980
Mailing Address - Fax:
Practice Address - Street 1:14 MANCHESTER SQ STE 150
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-7866
Practice Address - Country:US
Practice Address - Phone:603-239-3639
Practice Address - Fax:603-239-3890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH04625OtherSTATE LICENSE