Provider Demographics
NPI:1295524080
Name:ROBABEH, LLC
Entity type:Organization
Organization Name:ROBABEH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEE/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GITA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHATTAIE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:559-304-6314
Mailing Address - Street 1:PO BOX 26781
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93729-6781
Mailing Address - Country:US
Mailing Address - Phone:559-304-6314
Mailing Address - Fax:
Practice Address - Street 1:3267 E LOS ALTOS AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-4922
Practice Address - Country:US
Practice Address - Phone:559-470-9206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251G00000XAgenciesHospice Care, Community Based
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)