Organization Active NPI

Rehoboth Courage Center

  • Substance Abuse Rehabilitation Facility
  • Compton, CA
National Provider Identifier
1629201629
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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 CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rehoboth Courage Center2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.