Organization Active NPI

Reheboth of Hope LLC

  • Nursing Facility/Intermediate Care Facility
  • Rosevilee, CA
National Provider Identifier
1508620774
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
REHEBOTH OF HOPE LLC
Practice address
2495 Baseline Road
Rosevilee, CA 95747
Phone
(913) 548-2461
NPI assigned
Feb 8, 2024
Last updated
Feb 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Joyce W Kinyua, RNNPI 1598455040
Title
Qidp
Phone
(913) 548-2461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

2495 Baseline Road
Rosevilee, CA 95747

Mailing address

8025 Oak Ave
Roseville, CA 95747-9210
Phone (913) 548-2461

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1508620774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 OAK AVE",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957479210",
            "telephone_number": "913-548-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 BASELINE ROAD",
            "city": "ROSEVILEE",
            "state": "CA",
            "postal_code": "95747",
            "telephone_number": "913-548-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHEBOTH OF HOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "KINYUA",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "QIDP",
        "authorized_official_telephone_number": "913-548-2461",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.