NPIMap

Organization Active NPI

Rha Health Services TN, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Collierville, TN
National Provider Identifier
1497124358
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
L000000012731 Issued in TN
Legal business name
RHA HEALTH SERVICES TN, LLC
Practice address
468 Halle Park Dr
Collierville, TN 38017-7089
Phone
(731) 855-0537
Fax
(731) 855-1257
NPI assigned
Sep 22, 2015
Organization subpart
Yes
Parent organization
RHA HEALTH SERVICES TN, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Wayne Addison
Title
Coo
Phone
(901) 692-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X L000000012731 TN Primary

Addresses

Primary practice location

468 Halle Park Dr
Collierville, TN 38017-7089

Mailing address

468 Halle Park Dr
Collierville, TN 38017-7089
Phone (901) 692-5555

Other names 1

  • WTN 9 Cobblestone Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rha Health Services44 organizations share this tax ID, including this one
Part of
Rha Health Services

Other organizations with this tax ID 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1497124358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 HALLE PARK DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177089",
            "telephone_number": "901-692-5555",
            "fax_number": "901-692-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 HALLE PARK DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177089",
            "telephone_number": "731-855-0537",
            "fax_number": "731-855-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA HEALTH SERVICES TN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RHA HEALTH SERVICES TN, LLC",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "901-692-5555"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TN",
            "license": "L000000012731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WTN 9 Cobblestone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.