Provider Demographics
NPI:1699973388
Name:RHEMA HEALTH SYSTEMS, INC.
Entity type:Organization
Organization Name:RHEMA HEALTH SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CORNELIO
Authorized Official - Middle Name:R
Authorized Official - Last Name:AFAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:801-434-4200
Mailing Address - Street 1:560 S STATE ST
Mailing Address - Street 2:STE H2
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-6317
Mailing Address - Country:US
Mailing Address - Phone:801-434-4200
Mailing Address - Fax:801-434-4206
Practice Address - Street 1:560 S STATE ST
Practice Address - Street 2:STE H2
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-6317
Practice Address - Country:US
Practice Address - Phone:801-434-4200
Practice Address - Fax:801-434-4206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT467244Medicare Oscar/Certification