Organization Active NPI

Rutherford Life Services Inc

  • Community/Behavioral Health Agency
  • Spindale, NC
National Provider Identifier
1114963238
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RUTHERFORD LIFE SERVICES INC
Practice address
230 Fairground Rd
Spindale, NC 28160-2203
Phone
(828) 286-4352
Fax
(828) 287-3295
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Amanda P Freeman, QP
Title
Executive Director
Phone
(828) 286-4352

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

230 Fairground Rd
Spindale, NC 28160-2203

Mailing address

230 Fairground Rd
Spindale, NC 28160-2203
Phone (828) 286-4352

Other identifiers 2

IdentifierTypeStateIssuer
8300120MedicaidNC
3408856MedicaidNC

National Provider Directory

National Provider Directory

Locations

79 Carmel Ln
Columbus, NC 28722
Phone (828) 894-2007

230 Fairground Rd
Spindale, NC 28160
Phone (828) 286-4352

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1114963238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 FAIRGROUND RD",
            "city": "SPINDALE",
            "state": "NC",
            "postal_code": "281602203",
            "telephone_number": "828-286-4352",
            "fax_number": "828-287-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 FAIRGROUND RD",
            "city": "SPINDALE",
            "state": "NC",
            "postal_code": "281602203",
            "telephone_number": "828-286-4352",
            "fax_number": "828-287-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTHERFORD LIFE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-286-4352",
        "authorized_official_credential": "QP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300120",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408856",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spindale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.