Rha Health Services NC, LLC

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · La Grange, NC

NPI 1043379340 · NPPES record last updated Sep 18, 2015

Key facts

NPI
1043379340
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
License
MHL-054-006 (NC)
Legal business name
RHA HEALTH SERVICES NC, LLC
Practice address
5840 Greenwood Dr
La Grange, NC 28551-6815
Phone
(252) 566-9181
Fax
(252) 566-2912
NPI assigned
Dec 6, 2006
Organization subpart
No

Authorized official

Name
Jennifer D Lozano
Title
Director of Revenue Cycle
Phone
(404) 968-2663

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1074407Rha Health Services, LLC - Bear Creek
5840 Greenwood Avenue, La Grange, NC 28551
Certificate of waiverSep 26, 2027

National Provider Directory

Tax ID family
Rha Health Services NC LLC (351 organizations share this tax ID)

Locations

5840 Greenwood Dr
La Grange, NC 28551
Phone (252) 566-9181

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X MHL-054-006 NC Yes
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-054-006 NC

Addresses

Primary practice location

5840 Greenwood Dr
La Grange, NC 28551-6815

Mailing address

1819 Peachtree Rd NE
Ste 450
Atlanta, GA 30309-1848
Phone (404) 364-2900

Other identifiers

IdentifierTypeStateIssuer
3416034MedicaidNC

Other names

  • Bear Creek Other name

Other providers in La Grange, NC

All providers in La Grange, NC · Intellectual Disabilities Intermediate Care Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.