NPIMap

Organization Active NPI

Odd Fellow-Rebekah Children'S Home of California

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Campbell, CA
National Provider Identifier
1447904685
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ODD FELLOW-REBEKAH CHILDREN'S HOME OF CALIFORNIA
Practice address
1630 W Campbell Ave
Campbell, CA 95008-1500
Phone
(408) 846-2100
NPI assigned
Feb 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Christophe Rebboah
Title
Ceo
Phone
(408) 846-2100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1630 W Campbell Ave
Campbell, CA 95008-1500

Mailing address

290 Ioof Ave
Gilroy, CA 95020-5204
Phone (408) 846-2141

Other names 1

  • Rebekah Children's Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Odd Fellow-Rebekah Children'S Home of California16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

1630 W Campbell Ave
Campbell, CA 95008

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1447904685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 IOOF AVE",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950205204",
            "telephone_number": "408-846-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 W CAMPBELL AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081500",
            "telephone_number": "408-846-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODD FELLOW-REBEKAH CHILDREN'S HOME OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "REBBOAH",
        "authorized_official_first_name": "CHRISTOPHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-846-2100"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebekah Children's Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.