Organization Active NPI

Rehoboth LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Maricopa, AZ
National Provider Identifier
1528666039
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
REHOBOTH LLC
Practice address
46136 W Mountain View Rd # a
Maricopa, AZ 85139-6796
Phone
(480) 603-5286
Fax
(520) 200-0357
NPI assigned
Oct 16, 2020
Last updated
Oct 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Authorized official

Name
Joy Talabi
Title
Owner
Phone
(480) 603-5286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

46136 W Mountain View Rd # a
Maricopa, AZ 85139-6796

Mailing address

43014 W Wild Horse TRL # a
Maricopa, AZ 85138-8274
Phone (480) 603-5286

National Provider Directory

National Provider Directory
Tax ID family
Rehoboth LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1528666039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43014 W WILD HORSE TRL # A",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851388274",
            "telephone_number": "480-603-5286",
            "fax_number": "520-200-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46136 W MOUNTAIN VIEW RD # A",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851396796",
            "telephone_number": "480-603-5286",
            "fax_number": "520-200-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "TALABI",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-603-5286"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.