Organization Active NPI

Rutherford Life Services, Inc.

  • Community/Behavioral Health Agency
  • Spindale, NC
National Provider Identifier
1437539749
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RUTHERFORD LIFE SERVICES, INC.
Practice address
859 Thunder Rd
Spindale, NC 28160-1152
Phone
(828) 288-1697
Fax
(828) 288-9910
NPI assigned
Jun 2, 2015
Organization subpart
Yes
Parent organization
RUTHERFORD LIFE SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Mrs. Amanda P Freeman, QP
Title
Executive Director
Phone
(828) 286-4352

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X MHL-081-065 NC
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary
Adult Day Care Clinic/Center 261QA0600X

Addresses

Primary practice location

859 Thunder Rd
Spindale, NC 28160-1152

Mailing address

230 Fairground Rd
Spindale, NC 28160-2203
Phone (828) 286-4352

Other identifiers 1

IdentifierTypeStateIssuer
3408856MedicaidNC

Other names 1

  • Rutherford Life Care (program) Other name

National Provider Directory

National Provider Directory
Part of
Rutherford Life Care

Locations

859 Thunder Rd
Spindale, NC 28160
Phone (828) 288-1697

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1437539749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 FAIRGROUND RD",
            "city": "SPINDALE",
            "state": "NC",
            "postal_code": "281602203",
            "telephone_number": "828-286-4352",
            "fax_number": "828-287-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 THUNDER RD",
            "city": "SPINDALE",
            "state": "NC",
            "postal_code": "281601152",
            "telephone_number": "828-288-1697",
            "fax_number": "828-288-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTHERFORD LIFE SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUTHERFORD LIFE SERVICES INC",
        "enumeration_date": "2015-06-02",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-286-4352",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "QP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL-081-065",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408856",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rutherford Life Care (program)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spindale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.