Rejuvenate Residential Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

REJUVENATE RESIDENTIAL SERVICES LLC

Practice address

1904 E 22ND St
Muncie, IN 47302-5466

Phone

(765) 273-3391

NPI assigned

Feb 23, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Dominyse Davis, DNP, APRN, FNP PMHNCNPI 1962066639

Title

Owner

Phone

(317) 985-3580

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dominyse Davis, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Muncie, IN
  • NPI 1962066639
  NPD Authorized official

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1003760679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 N HICKORY RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 E 22ND ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473025466",
            "telephone_number": "765-273-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATE RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DOMINYSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-985-3580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, FNP PMHNC"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Ellen Reidt
• Robert N Reilly, MD
• Mary Beth Reinhard, MA
• Gabriel E Reising, MD
• Rejuvenate Minds LLP
• Rem Occazio, Inc.
• Rem Occazio, Inc.
• Renaissance Specialty Hospital of Central Indiana Operations Co LLC
• Renaissance Specialty Hospital of Central Indiana Operations Co., LLC
• Renal Associates of Central in

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Muncie, IN
• Providers in Muncie, IN by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.