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Rha Health Services NC, LLC

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Fayetteville, NC

NPI 1487799151 · NPPES record last updated Sep 16, 2015

Key facts

NPI
1487799151
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
Legal business name
RHA HEALTH SERVICES NC, LLC
Practice address
2001 Southern Ave
Fayetteville, NC 28306-1757
Phone
(910) 424-2121
Fax
(910) 424-7045
NPI assigned
Feb 21, 2007
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 24

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2166891Rha Health Services NC, LLC
2001 Southern Avenue, Fayetteville, NC 28306		Certificate of waiverMay 28, 2027

National Provider Directory

Tax ID family
Rha Health Services NC LLC (351 organizations share this tax ID)

Locations

2001 Southern Ave
Fayetteville, NC 28306
Phone (910) 424-2121

Specialties & licenses

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

Addresses

Primary practice location

2001 Southern Ave
Fayetteville, NC 28306-1757

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
3406447MedicaidNC

Other names

  • SOUTHERN AVENUE Other name

Other providers in Fayetteville, NC

All providers in Fayetteville, NC · Intellectual Disabilities Intermediate Care Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.