NPIMap

Organization Active NPI

Rehoboth LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Maricopa, AZ
National Provider Identifier
1881254647
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
REHOBOTH LLC
Practice address
46136 W Mountain View Rd
Maricopa, AZ 85139-6796
Phone
(480) 603-5286
NPI assigned
Jun 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

46136 W Mountain View Rd
Maricopa, AZ 85139-6796

Mailing address

43014 W Wild Horse TRL
Maricopa, AZ 85138-8274

Other identifiers 2

IdentifierTypeStateIssuer
BH7243MedicaidAZ
065285MedicaidAZ

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Rehobothalive@gmail.com
Other URL Rehobothalive@gmail.com

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": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1881254647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43014 W WILD HORSE TRL",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851388274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46136 W MOUNTAIN VIEW RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851396796",
            "telephone_number": "480-603-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "TALABI",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "480-603-5286"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BH7243",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065285",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Rehobothalive@gmail.com",
            "affiliation": "N",
            "address_1": "41832 W Rosa Dr",
            "city": "Maricopa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851382547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Rehobothalive@gmail.com",
            "affiliation": "N",
            "address_1": "46136 W Mountain View Rd",
            "city": "Maricopa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851396796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 20, 2023; 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.