Active NPI
Rutherford Life Services, Inc.
- Community/Behavioral Health Agency
- Spindale, NC
National Provider Identifier
1437539749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408856 | Medicaid | NC |
Other names 1
- Rutherford Life Care (program)
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.
-
- Community/Behavioral Health Agency
- Spindale, NC
- NPI 1114963238
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Asheville, NC
- NPI 1700147139
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
- Anne E Roberts, PT
- Rutherford County
- Rutherford County DSS
- Rutherford Hospital, Inc.
- Rutherford Life Services Inc
- Rutherford Polk McDowell Health District
- Rutherford Specialty Clinic
- Rutherford-Polk-McDowell District Health Department
- S&S Companion Care of Forest City NC LLC
- Cristy Houk Saunders, LPCA
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.