NPIMap

Organization Active NPI

Rha Health Services TN, LLC

Doing business as 3347 Jackson

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Murfreesboro, TN
National Provider Identifier
1174993281
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
L000000012144 Issued in TN
Legal business name
RHA HEALTH SERVICES TN, LLC
Doing business as
3347 Jackson
Practice address
3347 Jackson Rd
Murfreesboro, TN 37130-1350
Phone
(615) 895-7788
Fax
(615) 895-6999
NPI assigned
Oct 1, 2015
Last updated
Oct 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
Wayne Addison
Title
Coo
Phone
(901) 692-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X L000000012144 TN Primary

Addresses

Primary practice location

3347 Jackson Rd
Murfreesboro, TN 37130-1350

Mailing address

3350 Memorial Blvd
Murfreesboro, TN 37129-0208
Phone (615) 895-7788

Other names 1

  • 3347 Jackson Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174993281. Details of each certification follow.

  • CCN 44G070 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 44G070

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
RHA HEALTH SERVICES TN LLC
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 3, 1994
Last certification
Jul 9, 2025
Beds
8
Ownership / control type
Private (proprietary)
Facility address
3347 Jackson Road
Murfreesboro, TN 37130

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
44D2205672Rha 3347 Jackson3347 Jackson Road, Murfreesboro, TN 37130Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
Rha Health Services TN LLC44 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": "1443657600000",
    "number": "1174993281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 MEMORIAL BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290208",
            "telephone_number": "615-895-7788",
            "fax_number": "615-895-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 JACKSON RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371301350",
            "telephone_number": "615-895-7788",
            "fax_number": "615-895-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA HEALTH SERVICES TN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "901-692-5555"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TN",
            "license": "L000000012144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3347 Jackson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.