REHOBOTH HOME SUPPORT, LLC
NPI 1881190791
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Centennial, CO

Q: What is Rehoboth Home Support, LLC's NPI number?

The NPI number for Rehoboth Home Support, LLC is 1881190791. It was assigned to this organization in the NPPES registry on April 2, 2018.

Q: What is Rehoboth Home Support, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since April 02, 2018

12354 E CALEY AVE UNIT 201, CENTENNIAL, CO 80111(720) 524-7820(720) 440-9154 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 22, 2021, Aug 27, 2021, Feb 12, 2020 and 3 more (6 updates tracked since 2018).

On this page

About Rehoboth Home Support, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REHOBOTH HOME SUPPORT, LLC (NPI 1881190791) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Centennial, Colorado and active in the NPI registry since April 2018. The organization lists Dawit G Medhin, Director, as its authorized official.

NPPES Registry Identity

NPI1881190791

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameREHOBOTH HOME SUPPORT, LLC

Location Address12354 E CALEY AVE UNIT 201Centennial, CO 80111-6853

Mailing Address12354 E Caley Ave Unit 201Centennial, CO 80111-6853 · (720) 524-7820 · Fax (720) 440-9154

Phone(720) 524-7820

Fax(720) 440-9154

Organization SubpartNo

Authorized OfficialDawit G MedhinDirector · (303) 885-0183

Enumeration DateApril 2, 2018

Last NPPES UpdateOctober 22, 20216 updates tracked since enumeration

NPPES CertifiedOctober 22, 2021

✔ NPI 1881190791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedTransportation BrokerTaxonomy 347E00000X

Also ListedHomemakerTaxonomy 376J00000X

12354 E CALEY AVE UNIT 201, Centennial, CO 80111

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rehoboth Home Support, LLC's NPI number?

The NPI number for Rehoboth Home Support, LLC is 1881190791. It was assigned to this organization in the NPPES registry on April 2, 2018.

Where is Rehoboth Home Support, LLC located?

Rehoboth Home Support, LLC is located at 12354 E Caley Ave Unit 201, Centennial, CO 80111. The listed phone number is (720) 524-7820.

What is Rehoboth Home Support, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Rehoboth Home Support, LLC was last updated on October 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.