Rehoboth Group, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAL035023 Issued in NC

Legal business name

REHOBOTH GROUP, LLC

Practice address

844 NC Highway 39 S
Louisburg, NC 27549-7114

Phone

(919) 340-0211

NPI assigned

Oct 1, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jude Ogunleye

Title

Manager

Phone

(206) 321-0485

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1962753954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 JONES AVE NE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980562847",
            "telephone_number": "206-321-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 NC HIGHWAY 39 S",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275497114",
            "telephone_number": "919-340-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "OGUNLEYE",
        "authorized_official_first_name": "JUDE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-321-0485",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL035023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Privettes Resources LLC
• Nicole D Qualls, MSW, LCSW
• Gabrielle Quinones
• Jane B Quintana, D.D.S
• Shanika Ro'Sha Ragland, LPC, LCAS-A
• Relief Integrated Healthcare
• Katina Caprice Reuting, LCMHC
• Johnnie Rhodes, LCSWA
• Tonya Yvonne Richards
• Alexis N Richardson

• Adult Care Home Facility in Louisburg, NC
• Providers in Louisburg, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.