Rehoboth Support Services LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

REHOBOTH SUPPORT SERVICES LLC

Practice address

7007 Sequoia PL
Beltsville, MD 20705-1463

Phone

(202) 740-9056

NPI assigned

Sep 15, 2023

Organization subpart

No

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

Authorized official

Name

Atinuke Fadipe, RN

Title

Ceo

Phone

(240) 278-1871

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1891573424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 SEQUOIA PL",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051463",
            "telephone_number": "202-740-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 SEQUOIA PL",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051463",
            "telephone_number": "202-740-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "FADIPE",
        "authorized_official_first_name": "ATINUKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-278-1871",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Ramirez
• Darius Ramnath
• Genesis Ramos
• Robin Reading
• Samantha Rednick
• Elizabeth A Reid
• Revive Behavioral Health LLC
• Sigri Reyes, DPT
• Tiffany Marie Reynolds
• Tylor Reynolds

• Developmental Disabilities Clinic/Center in Beltsville, MD
• Providers in Beltsville, MD by specialty
• Developmental Disabilities Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.