NPIMap

Organization Active NPI

Rha Health Services TN, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Memphis, TN
National Provider Identifier
1316317407
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
L000000012407 Issued in TN
Legal business name
RHA HEALTH SERVICES TN, LLC
Practice address
5050 Poplar Ave
Suite 710
Memphis, TN 38157-0101
Phone
(901) 767-1455
Fax
(901) 767-1409
NPI assigned
Oct 1, 2015
Organization subpart
Yes
Parent organization
RHA HEALTH SERVICES TN, LLCAs reported in NPPES

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 L000000012407 TN Primary

Addresses

Primary practice location

5050 Poplar Ave
Suite 710
Memphis, TN 38157-0101

Mailing address

468 Halle Park Dr
Collierville, TN 38017-7089
Phone (901) 692-5555

Other names 1

  • RHA Community Homes Doing business as

National Provider Directory

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

Other organizations with this tax ID 43

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

View all 43

Locations

5050 Poplar Ave
Ste 710
Memphis, TN 38157
Phone (901) 767-1455

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": "1316317407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 HALLE PARK DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177089",
            "telephone_number": "901-692-5555",
            "fax_number": "901-692-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 POPLAR AVE",
            "address_2": "SUITE 710",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381570101",
            "telephone_number": "901-767-1455",
            "fax_number": "901-767-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA HEALTH SERVICES TN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RHA HEALTH SERVICES TN, LLC",
        "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": "L000000012407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RHA Community Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.