Active NPI
Rehoboth Courage Center
- Substance Abuse Rehabilitation Facility
- Compton, CA
National Provider Identifier
1629201629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- REHOBOTH COURAGE CENTER
- Practice address
- 716 W Compton Blvd
Compton, CA 90220-3015 - Phone
- (310) 663-0789
- NPI assigned
- Aug 25, 2009
- Organization subpart
- Yes
- Parent organization
- REHOBOTH COURAGE CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Adefemi Olufisayo Adegbesan
- Title
- Chief Executive Officer
- Phone
- (310) 663-0789
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
716 W Compton Blvd
Compton, CA 90220-3015
Mailing address
716 W Compton Blvd
Compton, CA 90220-3015
Phone (310) 663-0789
Other names 1
- Rehoboth drug and alcohol prevention center
National Provider Directory
National Provider Directory- Tax ID family
- Rehoboth Courage Center
- Part of
- Rehoboth Courage Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Compton, CA
- NPI 1124467279
Locations
716 W Compton Blvd
Compton, CA 90220
Phone (310) 663-0789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388707200000",
"number": "1629201629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 W COMPTON BLVD",
"city": "COMPTON",
"state": "CA",
"postal_code": "902203015",
"telephone_number": "310-663-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 W COMPTON BLVD",
"city": "COMPTON",
"state": "CA",
"postal_code": "902203015",
"telephone_number": "310-663-0789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHOBOTH COURAGE CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REHOBOTH COURAGE CENTER",
"enumeration_date": "2009-08-25",
"last_updated": "2014-01-03",
"status": "A",
"authorized_official_last_name": "ADEGBESAN",
"authorized_official_first_name": "ADEFEMI",
"authorized_official_middle_name": "OLUFISAYO",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "310-663-0789",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rehoboth drug and alcohol prevention center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Compton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.