NPIMap

Organization Active NPI

Rha Health Services TN, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Humboldt, TN
National Provider Identifier
1104296219
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
L000000012744 Issued in TN
Legal business name
RHA HEALTH SERVICES TN, LLC
Practice address
3301 Hunters Ridge Dr
Humboldt, TN 38343-6746
Phone
(731) 855-0537
Fax
(731) 855-1257
NPI assigned
Oct 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Jennifer D Lozano
Title
SVP Financial Services
Phone
(404) 968-2663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X L000000012744 TN Primary

Addresses

Primary practice location

3301 Hunters Ridge Dr
Humboldt, TN 38343-6746

Mailing address

211 Perimeter Center Pkwy NE Ste 750
Atlanta, GA 30346-1318
Phone (770) 630-7290

Other names 1

  • 3301 Hunters Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2205578Rha 3301 Hunters Ridge3301 Hunters Ridge Drive, Humboldt, TN 38343Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
Rha Health Services44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1104296219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PERIMETER CENTER PKWY NE STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303461318",
            "telephone_number": "770-630-7290",
            "fax_number": "404-364-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 HUNTERS RIDGE DR",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383436746",
            "telephone_number": "731-855-0537",
            "fax_number": "731-855-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA HEALTH SERVICES TN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SVP FINANCIAL SERVICES",
        "authorized_official_telephone_number": "404-968-2663"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TN",
            "license": "L000000012744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3301 Hunters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humboldt, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.