Active NPI
Rehovot Support Services Incorporated
- Developmentally Disabled Services Day Training Agency
- Owings Mills, MD
National Provider Identifier
1942048103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- REHOVOT SUPPORT SERVICES INCORPORATED
- Practice address
- 50 Hamlet Dr
Owings Mills, MD 21117-5427 - Phone
- (443) 834-0476
- NPI assigned
- Jul 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Folasade Lara Wyatt
- Title
- Managing Owner
- Phone
- (443) 834-0476
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
50 Hamlet Dr
Owings Mills, MD 21117-5427
Mailing address
50 Hamlet Dr
Owings Mills, MD 21117-5427
Phone (443) 834-0476
Other practice location 1
50 Hamlet Dr
Owings Mills, MD 21117-5427
Phone (443) 834-0476
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721347200000",
"number": "1942048103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 HAMLET DR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175427",
"telephone_number": "443-834-0476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 HAMLET DR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175427",
"telephone_number": "443-834-0476"
}
],
"practiceLocations": [
{
"address_1": "50 Hamlet Dr",
"address_purpose": "LOCATION",
"city": "Owings Mills",
"state": "MD",
"postal_code": "211175427",
"country_code": "US",
"telephone_number": "443-834-0476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REHOVOT SUPPORT SERVICES INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-19",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A",
"authorized_official_last_name": "WYATT",
"authorized_official_first_name": "FOLASADE",
"authorized_official_middle_name": "LARA",
"authorized_official_title_or_position": "MANAGING OWNER",
"authorized_official_telephone_number": "443-834-0476"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.