REJUVENATE RESIDENTIAL SERVICES LLC – NPI #1003760679
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

REJUVENATE RESIDENTIAL SERVICES LLC is a residential treatment facility located in MUNCIE, IN. NPPES has assigned the NPI number 1003760679 to REJUVENATE RESIDENTIAL SERVICES LLC on February 23, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REJUVENATE RESIDENTIAL SERVICES LLC below.

NPI Profile for
REJUVENATE RESIDENTIAL SERVICES LLC

NPI Number
1003760679
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REJUVENATE RESIDENTIAL SERVICES LLC
Primary location
1904 E 22ND ST
MUNCIE, IN 47302-5466
Phone: (765) 273-3391 Fax:
Mailing address
5112 N HICKORY RD
MUNCIE, IN 47303-1074
Phone: Fax:
Organization Subpart
No
Authorized Official
DOMINYSE DAVIS
OWNER
Phone: (317) 985-3580
Updated
Certification Date
Feb 22, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.