Active NPI
Rehoboth Supportive Services LLC
- Case Management Agency
- Philadelphia, PA
National Provider Identifier
1124931449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.