Organization Active NPI

Rehoboth Texas Corporation

  • Home Health Agency
  • Sugar Land, TX
National Provider Identifier
1043835697
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REHOBOTH TEXAS CORPORATION
Practice address
10903 Coldwater Bridge CT
Sugar Land, TX 77498-0945
Phone
(281) 323-9560
NPI assigned
Jun 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Mr. Taiwo Roberts, RN
Title
Program Manager
Phone
(281) 323-9560

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Care Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2279G1100X
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

10903 Coldwater Bridge CT
Sugar Land, TX 77498-0945

Mailing address

10903 Coldwater Bridge CT
Sugar Land, TX 77498-0945
Phone (281) 323-9560

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1043835697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 COLDWATER BRIDGE CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774980945",
            "telephone_number": "281-323-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 COLDWATER BRIDGE CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774980945",
            "telephone_number": "281-323-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH TEXAS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TAIWO",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "281-323-9560",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "2279G1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.