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REHOBOTH HOME SUPPORT LLC NPI 1881190791


NPI Information

NPI: 1881190791
Provider Name: REHOBOTH HOME SUPPORT, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
12354 E CALEY AVE UNIT 201
CENTENNIAL, CO
ZIP 80111
Phone: (720) 524-7820
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REHOBOTH HOME SUPPORT, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Centennial, CO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. REHOBOTH HOME SUPPORT, LLC NPI is 1881190791. The provider is registered as an organization entity type.

The provider's business location address is:

12354 E CALEY AVE UNIT 201
CENTENNIAL, CO
ZIP 80111-853
Phone: (720) 524-7820
Fax: (720) 440-9154

The provider's authorized official is Dawit G Medhin .
The authorized official title is Director and has the following contact phone number (303) 885-0183.

The enumeration date for this NPI number is 4/2/2018 and was last updated on 10/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1347E00000XTransportation BrokerCOLORADONo
2376J00000XHomemakerNo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesCOLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.