NPIMap

Organization Active NPI

Rha Behavioral Health NC LLC

  • Community/Behavioral Health Agency
  • Jacksonville, NC
National Provider Identifier
1124614557
Registry record updated Dec 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RHA BEHAVIORAL HEALTH NC LLC
Practice address
1300 Gum Branch Rd Ste a
Jacksonville, NC 28540-5019
Phone
(800) 848-0180
NPI assigned
Dec 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1300 Gum Branch Rd Ste a
Jacksonville, NC 28540-5019

Mailing address

1819 Peachtree Rd NE Ste 450
Atlanta, GA 30309-1853
Phone (404) 364-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170914003770 NC Part B Supplier - Clinic/Group Practice 4688948656 Receives reassigned benefits from 93 practitioners
21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Laurinburg, NC; Elkin, NC; Lexington, NC; Lumberton, NC; Monroe, NC; Morehead City, NC; New Bern, NC; Roanoke Rapids, NC…

Other NPIs on the same Medicare enrollment 21

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 21

National Provider Directory

National Provider Directory
Tax ID family
Rha Behavioral Health NC LLC52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608422400000",
    "number": "1124614557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 PEACHTREE RD NE STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091853",
            "telephone_number": "404-364-2900",
            "fax_number": "404-364-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 GUM BRANCH RD STE A",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405019",
            "telephone_number": "800-848-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA BEHAVIORAL HEALTH NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-20",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP FINANCIAL SERVICES",
        "authorized_official_telephone_number": "404-968-2663"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.