NPIMap

Organization Active NPI

Rehoboth LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Maricopa, AZ
National Provider Identifier
1003283417
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH4563 Issued in AZ
Legal business name
REHOBOTH LLC
Practice address
19436 N Smith Dr
Maricopa, AZ 85139-6877
Phone
(480) 603-5286
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joy Talabi
Title
Administrator
Phone
(480) 603-5286

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X BH4563 AZ
Mental Illness Community Based Residential Treatment Facility 320800000X BH4563 AZ Primary
Psychiatric Residential Treatment Facility 323P00000X BH4563 AZ

Addresses

Primary practice location

19436 N Smith Dr
Maricopa, AZ 85139-6877

Mailing address

43014 W Wild Horse TRL
Maricopa, AZ 85138-8274
Phone (480) 603-5286

National Provider Directory

National Provider Directory
Tax ID family
Rehoboth LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1003283417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43014 W WILD HORSE TRL",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851388274",
            "telephone_number": "480-603-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19436 N SMITH DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851396877",
            "telephone_number": "480-603-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "TALABI",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-603-5286"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AZ",
            "license": "BH4563",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH4563",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "BH4563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.