Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rejuvenate Residential Services LLC

Organization Developmentally Disabled Services Day Training Agency · NPI 1003760679

Rejuvenate Residential Services LLC is a Developmentally Disabled Services Day Training Agency in Muncie, Indiana. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1904 E 22nd St
Muncie, IN 47302-5466
Phone: (765) 273-3391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X

Record details

NPI number1003760679
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominyse Davis — Owner · (317) 985-3580
NPI enumeratedFebruary 23, 2026
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 22, 2026
Mailing address5112 N Hickory Rd, Muncie, IN 47303-1074

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