Organization Active NPI

Rehoboth at Last. LLC

  • Non-emergency Medical Transport (VAN)
  • Springdale, AR
National Provider Identifier
1508216201
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
REHOBOTH AT LAST. LLC
Practice address
533 Caboose LN
Springdale, AR 72764-6505
Phone
(928) 386-1252
NPI assigned
Jun 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Mr. Thimotee Ilboudo
Title
General Manager
Phone
(928) 386-1252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

533 Caboose LN
Springdale, AR 72764-6505

Mailing address

533 Caboose LN
Springdale, AR 72764-6505
Phone (928) 386-1252

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1508216201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 CABOOSE LN",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646505",
            "telephone_number": "928-386-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 CABOOSE LN",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646505",
            "telephone_number": "928-386-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH AT LAST. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "ILBOUDO",
        "authorized_official_first_name": "THIMOTEE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "928-386-1252",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.