Rehoboth Courage Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REHOBOTH COURAGE CENTER

Practice address

718 W Compton Blvd
Compton, CA 90220-3015

Phone

(310) 663-0789

NPI assigned

Jun 21, 2013

Organization subpart

Yes

Parent organization

REHOBOTH COURAGE CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Adefemi Olufisayo Adegbesan

Title

President

Phone

(310) 663-0789

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rehoboth Drug And Alcohol Prevention Center Doing business as

Tax ID family

Rehoboth Courage Center2 organizations share this tax ID, including this one

Part of

Rehoboth Courage Center

Other organizations with this tax ID 1

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

• Rehoboth Courage Center

  • Substance Abuse Rehabilitation Facility
  • Compton, CA
  • NPI 1629201629
  NPD tax ID

Locations

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1124467279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 W COMPTON BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203015",
            "telephone_number": "310-663-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 W COMPTON BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203015",
            "telephone_number": "310-663-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH COURAGE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REHOBOTH COURAGE CENTER",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "ADEGBESAN",
        "authorized_official_first_name": "ADEFEMI",
        "authorized_official_middle_name": "OLUFISAYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-663-0789",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629201629",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehoboth Drug And Alcohol Prevention Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fernanda Reed
• JD Reed Jr., COUNSELOR
• Tyrone Reed
• Judy M Reese-Crockett
• Cagen Reese
• Rehoboth Courage Center
• Rehoboth Drug and Alcohol Prevention Center
• Renew Integrated Program-2 Inc.
• Nancy Zulma Renoj
• Celeste Antonia Renteria

• Community/Behavioral Health Agency in Compton, CA
• Providers in Compton, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.