Organization Active NPI

Rehoboth Supportive Services LLC

  • Case Management Agency
  • Philadelphia, PA
National Provider Identifier
1124931449
Registry record updated Sep 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
REHOBOTH SUPPORTIVE SERVICES LLC
Practice address
1840 Arnold St
Philadelphia, PA 19152-1825
Phone
(267) 971-0646
NPI assigned
Sep 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2026

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

Authorized official

Name
Adegbenga Adewole
Title
Owner
Phone
(267) 971-0646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1840 Arnold St
Philadelphia, PA 19152-1825

Mailing address

1840 Arnold St
Philadelphia, PA 19152-1825
Phone (267) 971-0646

NPI Registry JSON

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

{
    "created_epoch": "1790380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790380800000",
    "number": "1124931449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 ARNOLD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521825",
            "telephone_number": "267-971-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 ARNOLD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521825",
            "telephone_number": "267-971-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH SUPPORTIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-26",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A",
        "authorized_official_last_name": "ADEWOLE",
        "authorized_official_first_name": "ADEGBENGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-971-0646"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.