RACHEAL BUNDOR


Address: 2604 Johnson Rd, Upper Chichester, PA 19061-3523
Phone: 2674082202

RACHEAL BUNDOR (NPI# 1174984157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174984157
Entity Type Individual
Full Name RACHEAL BUNDOR
Credential CEO
Practice Address 2604 Johnson Rd
Upper Chichester
PA 19061-3523
Practice Telephone 2674082202
Practice Fax Number 4842291188
Mailing Telephone 2674082202
Mailing Fax Number 4842291188
Enumeration Date 2016-03-17
Last Update Date 2016-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 373H00000X Day Training/Habilitation Specialist CER-00091663 PA Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA CER-00091663 05

Office Location

Street Address 2604 JOHNSON RD
City UPPER CHICHESTER
State PA
Zip Code 19061-3523

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528506086 Agape Family Home, LLC Registered Nurse 2604 Johnson Rd, Upper Chichester, PA 19061-3523 2017-02-05

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Taxonomy Information

Taxonomy Code 373H00000X
Grouping Nursing Service Related Providers
Classification Day Training/Habilitation Specialist

Taxonomy Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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NPI Name Taxonomy Address Enumeration
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1033741137 Kanika Williams Day Training/Habilitation Specialist 2812 N Van Pelt St, Philadelphia, PA 19132-2643 2020-02-06
1275177362 Dhan Timsina Day Training/Habilitation Specialist 453 Galleon Dr, Mechanicsburg, PA 17050-2925 2019-10-31
1902363005 Keystone Community Resources, Inc. Day Training/Habilitation Specialist 628 Genet Street, Scranton, PA 18505 2019-02-25
1326512971 Lilly of The Valley LLC Day Training/Habilitation Specialist 5651 Woodcrest Ave, Philadelphia, PA 19131-1303 2019-01-16
1245714757 Keystone Community Resources, Inc. Day Training/Habilitation Specialist 921 Penn Ave, Scranton, PA 18509-2901 2018-09-20
1861976383 Keystone Community Resources, Inc. Day Training/Habilitation Specialist 1729 Pittston Ave, Scranton, PA 18505-4514 2018-09-20
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Competitor

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City UPPER CHICHESTER
Zip Code 19061

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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