NPIMap

Organization Active NPI

Odd-Fellow Rebekah Children's Home of Ca

Doing business as Rebekah Children's Services

  • Community/Behavioral Health Agency
  • Gilroy, CA
National Provider Identifier
1922461243
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ODD-FELLOW REBEKAH CHILDREN'S HOME OF CA
Doing business as
Rebekah Children's Services
Practice address
475 Old Gilroy St
Gilroy, CA 95020-6214
Phone
(408) 846-2100
NPI assigned
Apr 4, 2016
Last updated
May 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Christophe Rebboah
Title
Ceo
Phone
(408) 846-2106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

475 Old Gilroy St
Gilroy, CA 95020-6214

Mailing address

290 Ioof Ave
Gilroy, CA 95020-5204
Phone (408) 846-2100

Other names 1

  • Rebekah Children's Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Odd Fellow-Rebekah Children's Home of California16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

475 Old Gilroy St
Gilroy, CA 95020
Phone (669) 205-4300

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1922461243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 IOOF AVE",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950205204",
            "telephone_number": "408-846-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 OLD GILROY ST",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950206214",
            "telephone_number": "408-846-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODD-FELLOW REBEKAH CHILDREN'S HOME OF CA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "REBBOAH",
        "authorized_official_first_name": "CHRISTOPHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-846-2106"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebekah Children's Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.