Rehoboth Support Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REHOBOTH SUPPORT SERVICES LLC

Doing business as

Rehoboth Support Services LLC

Practice address

67 Adirondack Dr
Selden, NY 11784-3236

Phone

(631) 575-7047

NPI assigned

Aug 22, 2025

Organization subpart

No

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

Authorized official

Name

Adanna Anokam

Title

Managing Member

Phone

(631) 575-7047

Specialties & licenses 2

Addresses

Other names 1

• Rehoboth Support Services LLC Doing business as

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1245118835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 ADIRONDACK DR",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117843236",
            "telephone_number": "631-575-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 ADIRONDACK DR",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117843236",
            "telephone_number": "631-575-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "ANOKAM",
        "authorized_official_first_name": "ADANNA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "631-575-7047"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehoboth Support Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerrie A Rank, MASTERS
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• Laura Ricciardi, LMSW
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• Yesenia M Rios, LPN

• Community/Behavioral Health Agency in Selden, NY
• Providers in Selden, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.