Organization Active NPI

Rha Trenton Mr Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Humboldt, TN
National Provider Identifier
1497080824
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
RHA TRENTON MR INC.
Practice address
3301 Hunter'S Ridge Rd.
Humboldt, TN 38343
Phone
(731) 855-0537
Fax
(731) 855-1257
NPI assigned
Oct 2, 2009
Organization subpart
Yes
Parent organization
RHA TRENTON MR INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Authorized official

Name
Ms. Anita Deckard
Title
Administrator
Phone
(731) 855-0537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3301 Hunter'S Ridge Rd.
Humboldt, TN 38343

Mailing address

2055 US Highway 45 Byp S
Trenton, TN 38382-3501
Phone (731) 855-0537

Other names 1

  • 3301 Hunter's Ridge Rd Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 44G112

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
RHA HEALTH SERVICES TN LLC-3301 HUNTER'S RIDGE DR
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 21, 2010
Last certification
May 14, 2025
Beds
4
Ownership / control type
Private (proprietary)
Facility address
3301 Hunter'S Ridge Drive
Humboldt, TN 38343

National Provider Directory

National Provider Directory
Tax ID family
Rhatrenton Mrinc22 organizations share this tax ID, including this one
Part of
Rhatrenton Mrinc

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1497080824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 US HIGHWAY 45 BYP S",
            "city": "TRENTON",
            "state": "TN",
            "postal_code": "383823501",
            "telephone_number": "731-855-0537",
            "fax_number": "731-855-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 HUNTER'S RIDGE RD.",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "38343",
            "telephone_number": "731-855-0537",
            "fax_number": "731-855-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA TRENTON MR INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RHA TRENTON MR INC.",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "DECKARD",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "731-855-0537",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3301 Hunter's Ridge Rd",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Humboldt, TN

Sources for this page

Verify at the official NPI Registry.