Organization Active NPI

Rehovot Support Services Incorporated

  • Developmentally Disabled Services Day Training Agency
  • Owings Mills, MD
National Provider Identifier
1942048103
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on Jul 19, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.