REHOBOTH HOME SUPPORT, LLC (NPI# 1881190791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881190791 |
| Entity Type | Organization |
| Organization Name | REHOBOTH HOME SUPPORT, LLC |
| Practice Address |
22735 E Frost Pl Aurora CO 80016 |
| Mailing Address |
22735 E Frost Pl Aurora CO 80016-6007 |
| Practice Telephone | 3033465707 |
| Practice Fax Number | 3033465707 |
| Mailing Telephone | 3033465707 |
| Mailing Fax Number | 3033465707 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | DAWIT G MEDHIN (DIRECTOR) |
| Authorized Official Telephone | 3033465707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 347E00000X | Transportation Broker | CO | Transportation Services | |
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | CO | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Rehoboth Home Support, LLC | 22735 E Frost Pl, Aurora, CO 80016 |
| Street Address |
22735 E FROST PL |
| City | AURORA |
| State | CO |
| Zip Code | 80016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271126 | Saddle Rock Oral and Facial Reconstructive Surgery Pllc | Oral & Maxillofacial Surgery | 7380 S. Gartrell Rd, Aurora, CO 80016 | 2020-09-28 |
| 1104380443 | Yuki Dykes Dds PC | Dentist | 6240 S Main St., Ste 275, Aurora, CO 80016 | 2019-01-30 |
| 1578038436 | Capitol Peak Home Care Services | Home Health Aide | 16372 E Fremont Ave, Unit 11 Bldg 4, Aurora, CO 80016 | 2018-10-08 |
| 1902336514 | Trey Medical Enteprises, Inc. | Family Medicine | 15033 E Maplewood Dr., Centennial, CO 80016 | 2017-06-15 |
| 1598293185 | Rocky Mountain Physicians Group, PC | Clinic/Center | 7460 S Gartrell Rd, Aurora, CO 80016 | 2017-05-26 |
| 1629501358 | Shanah Care Services | Home Health | 6012 S. Telluride Cir, Aurora, CO 80016 | 2017-04-10 |
| 1962888966 | Joseph Kuzemchak | Health Maintenance Organization | 6105 S. Parker Rd, Apt. 8103, Centennial, CO 80016 | 2015-08-03 |
| 1174902738 | Lindsey Moore Baker | Physical Therapist | 6202 S Parker Rd Unit 500, Centennial, CO 80016 | 2015-05-28 |
| 1093107724 | Nathan Mitchell | Specialist/Technologist, Other | 25480 E Hinsdale Pl, Aurora, CO 80016 | 2015-03-04 |
| 1942691639 | Aurora Dentistry, LLP | Dentist | 25791 E Smoky Hill Road, Suite 10, Aurora, CO 80016 | 2015-02-17 |
| Find all providers in zip 80016 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203535 | Special Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2776 S Dunkirk Ct, Aurora, CO 80013-4744 | 2020-10-23 |
| 1083220750 | Liberty Residential LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 923 S Telluride St, Aurora, CO 80017-3346 | 2020-09-18 |
| 1750907135 | Bianca Alish Lott | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17827 E Mexico Dr, Aurora, CO 80017-5378 | 2020-06-22 |
| 1790300705 | Haset | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 855 S Kalispell Cir Unit 205, Aurora, CO 80017-2098 | 2020-06-15 |
| 1942852561 | Grace Community Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24238 E Arapahoe Pl, Aurora, CO 80016-4138 | 2019-07-13 |
| 1134642614 | Life Skills Empowerment Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 171 Del Mar Cir, Aurora, CO 80011-8217 | 2017-07-17 |
| 1679002034 | Rukecha LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1425 S Ensenada St, Aurora, CO 80017 | 2017-06-08 |
| 1699217984 | Caring Voices | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 794 Memphis St, Aurora, CO 80011-4543 | 2016-11-17 |
| 1073960167 | Association for Individual Development | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 309 New Indian Trail Ct., Aurora, IL 60506-2494 | 2016-05-18 |
| 1295908689 | Lutheran Social Services of Illinois | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 560 W Galena Blvd, Aurora, IL 60506-3855 | 2008-04-08 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.