NPIMap

Organization Active NPI

Rha Health Services NC, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Ferguson, NC
National Provider Identifier
1487789467
Registry record updated Sep 24, 2018
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Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
RHA HEALTH SERVICES NC, LLC
Practice address
1388 Lewis Fork Baptist Church Road
Ferguson, NC 28624-9080
Phone
(828) 262-5450
Fax
(828) 262-5730
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Authorized official

Name
Jennifer D Lozano
Title
Director of Revenue Cycle
Phone
(404) 364-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

1388 Lewis Fork Baptist Church Road
Ferguson, NC 28624-9080

Mailing address

1819 Peachtree Rd NE
Ste 450
Atlanta, GA 30309-1848
Phone (404) 364-2900

Other practice location 1

1358 Lewis Fork Baptist Ch Rd
Ferguson, NC 28624-9080
Phone (828) 232-6844

Other identifiers 1

IdentifierTypeStateIssuer
3406512MedicaidNC

Other names 1

  • LEWIS FORK I & II Other name

National Provider Directory

National Provider Directory
Tax ID family
Rha Health Services NC LLC351 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1358 Lewis Fork Baptist Ch Rd
Ferguson, NC 28624

1388 Lewis Fork Baptist Ch Rd
Ferguson, NC 28624
Phone (336) 973-8151

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1487789467",
    "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 CHURCH ROAD",
            "city": "FERGUSON",
            "state": "NC",
            "postal_code": "286249080",
            "telephone_number": "828-262-5450",
            "fax_number": "828-262-5730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1358 Lewis Fork Baptist Ch Rd",
            "address_purpose": "LOCATION",
            "city": "Ferguson",
            "state": "NC",
            "postal_code": "286249080",
            "country_code": "US",
            "telephone_number": "828-232-6844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RHA HEALTH SERVICES NC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "404-364-2900"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406512",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEWIS FORK I & II",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "LEWIS FORK I & II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ferguson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.