Rha North Carolina Mr, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

RHA NORTH CAROLINA MR, INC.

Practice address

1388 Lewis Fork Baptist CH Rd
Ferguson, NC 28624-9080

Phone

(336) 973-8151

NPI assigned

Aug 20, 2015

Last updated

Aug 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Lozano, MBA, CPC-P

Title

Director of Revenue Cycle

Phone

(404) 968-2668

Specialties & licenses 1

Addresses

Other names 1

• Lewis Fork II Other name

Tax ID family

Guilford IV2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Rha North Carolina Mr Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Atlanta, GA
  • NPI 1952652471
  NPD tax ID

Locations

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1326414665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 PEACHTREE RD NE",
            "address_2": "STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091848",
            "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": "1388 LEWIS FORK BAPTIST CH RD",
            "city": "FERGUSON",
            "state": "NC",
            "postal_code": "286249080",
            "telephone_number": "336-973-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA NORTH CAROLINA MR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "404-968-2668",
        "authorized_official_credential": "MBA, CPC-P"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewis Fork II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James M Piper II DMD Ms PA (Summit Smile Innovations)
• Thomas Keith McMahan, M.D.
• Tana Phillips Morrow, MA, LPC, NCC, NCSC
• Mary L Phillips, MD
• Rha Health Services NC, LLC
• Rick Hensley DMD, PA Dba Rick Hensley Family Dentistry
• Holly Elizabeth Roberts
• West Wilkes Medical Center, Inc.
• Wilkes Physician Network, Inc. (West Wilkes Family Medicine)

• Intellectual Disabilities Intermediate Care Facility in Ferguson, NC
• Providers in Ferguson, NC by specialty
• Intellectual Disabilities Intermediate Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.