Organization Active NPI

Rhema Rehabilitation Centers

  • Addiction (Substance Use Disorder) Counselor
  • Mojave, CA
National Provider Identifier
1487242152
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
RHEMA REHABILITATION CENTERS
Practice address
2069 Inyo St
Mojave, CA 93501-1755
Phone
(661) 754-1009
NPI assigned
Jan 7, 2021
Last updated
Jan 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Mr. Theodore Charles Jr.
Title
Consultant
Phone
(323) 485-6842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

2069 Inyo St
Mojave, CA 93501-1755

Mailing address

17012 Roper St
Mojave, CA 93501-1689
Phone (661) 754-1009

National Provider Directory

National Provider Directory

Locations

17012 Roper St
Mojave, CA 93501

2069 Inyo St
Mojave, CA 93501
Phone (661) 754-1009

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1487242152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17012 ROPER ST",
            "city": "MOJAVE",
            "state": "CA",
            "postal_code": "935011689",
            "telephone_number": "661-754-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2069 INYO ST",
            "city": "MOJAVE",
            "state": "CA",
            "postal_code": "935011755",
            "telephone_number": "661-754-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEMA REHABILITATION CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "323-485-6842",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mojave, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.