Rapha Healthcare Services,LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

RAPHA HEALTHCARE SERVICES,LLC

Practice address

4411 Ben Franklin Blvd
Durham, NC 27704-2147

Phone

(919) 471-5474

Fax

(919) 471-5475

NPI assigned

Dec 31, 2014

Organization subpart

No

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

Authorized official

Name

Sharon Halliday, LCAS, CCSNPI 1760813364

Title

Managing Member

Phone

(919) 471-5474

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Subparts reporting this organization as parent 2

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

• Rapha Healthcare Services - Lab

  • Multi-Specialty Clinic/Center
  • Durham, NC
  • NPI 1407481732
  NPPES parent name
• Rapha Healthcare Services,LLC

  dba RAPHA Healthcare Services, LLC - Virginia

  • Multi-Specialty Clinic/Center
  • Durham, NC
  • NPI 1902414154
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Jones Thompson, PMHNP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Durham, NC
  • NPI 1356982797
  Medicare reassignment Care Compare group NPD
• Chinenye Uchendu, MD

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1093042640
  Medicare reassignment Care Compare group NPD
• Richard M Pavelock, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Statesville, NC
  • NPI 1487739579
  Medicare reassignment NPD
• Elizabeth Johanna Teshima, FNP-C

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1417328022
  Medicare reassignment NPD
• Sharon Raynes Halliday, LCAS CCS CSARFD

  • Addiction (Substance Use Disorder) Counselor
  • Durham, NC
  • NPI 1760813364
  Authorized official Same address or phone

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1316335128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 BEN FRANKLIN BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042147",
            "telephone_number": "919-471-5474",
            "fax_number": "919-471-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 BEN FRANKLIN BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042147",
            "telephone_number": "919-471-5474",
            "fax_number": "919-471-5475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Fayetteville Rd",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582697",
            "country_code": "US",
            "telephone_number": "910-370-0076",
            "fax_number": "910-674-4014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281153500",
            "country_code": "US",
            "telephone_number": "704-912-1426",
            "fax_number": "919-471-5475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 S Church St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272155047",
            "country_code": "US",
            "telephone_number": "336-438-0212",
            "fax_number": "919-471-5474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283581119",
            "country_code": "US",
            "telephone_number": "910-427-9615",
            "fax_number": "910-887-2072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Remount Rd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280547476",
            "country_code": "US",
            "telephone_number": "704-874-1834",
            "fax_number": "980-265-2816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAPHA HEALTHCARE SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "HALLIDAY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "919-471-5474",
        "authorized_official_credential": "LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srikar Rao, M.D.
• Sunil Rao, M.D.
• Vinaya Rao, MD
• Jennifer Raper, M.S., CCC-A
• Rapha Healthcare Services - Lab
• Rapha Healthcare Services,LLC (RAPHA Healthcare Services, LLC - Virginia)
• Rapid Home Health and Hospice Services
• Sarah Anne Rapisardo, PHD
• Anna Rapoport, NP
• Daniel Rapoport, MD

• Multi-Specialty Clinic/Center in Durham, NC
• Providers in Durham, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.