Organization Active NPI

Rta HTH Inc.

  • Community/Behavioral Health Agency
  • Queens Village, NY
National Provider Identifier
1053951038
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RTA HTH INC.
Practice address
22001 Jamaica Ave
Queens Village, NY 11428-2140
Phone
(718) 412-1848
NPI assigned
Jan 8, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelly A HolmesNPI 1982244968
Title
Founder
Phone
(718) 412-1848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

22001 Jamaica Ave
Queens Village, NY 11428-2140

Mailing address

22919 Merrick Blvd # 541
Laurelton, NY 11413-2108
Phone (718) 412-1848

Other practice location 1

16995 137th Ave
Jamaica, NY 11434-4517
Phone (718) 528-1503

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL AthenaHealth
CONNECT URL AthenaHealth
CONNECT URL AthenaHealth

National Provider Directory

National Provider Directory

Locations

165100 Baisley Blvd
Unit 340570
Jamaica, NY 11434

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1053951038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22919 MERRICK BLVD # 541",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132108",
            "telephone_number": "718-412-1848",
            "fax_number": "718-977-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22001 JAMAICA AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114282140",
            "telephone_number": "718-412-1848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16995 137th Ave",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114344517",
            "country_code": "US",
            "telephone_number": "718-528-1503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RTA HTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "718-412-1848"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AthenaHealth",
            "affiliation": "Y",
            "address_1": "22001 Jamaica Ave",
            "city": "Queens Village",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114282140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AthenaHealth",
            "affiliation": "Y",
            "address_1": "22001 Jamaica Ave",
            "city": "Queens Village",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114282140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AthenaHealth",
            "affiliation": "Y",
            "address_1": "22001 Jamaica Ave",
            "city": "Queens Village",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114282140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.