NPIMap

Organization Active NPI

Rha Health Services TN, LLC

Doing business as 14 Cobblestone

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Humboldt, TN
National Provider Identifier
1538530753
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
L000000012730 Issued in TN
Legal business name
RHA HEALTH SERVICES TN, LLC
Doing business as
14 Cobblestone
Practice address
14 Cobblestone Dr
Humboldt, TN 38343-8637
Phone
(731) 855-0537
Fax
(731) 855-1257
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 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 and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X L000000012730 TN Primary

Addresses

Primary practice location

14 Cobblestone Dr
Humboldt, TN 38343-8637

Mailing address

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

Other names 1

  • 14 Cobblestone Doing business as

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 44G137

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 -14 COBBLESTONE DRIVE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Dec 29, 2010
Last certification
Dec 16, 2025
Beds
4
Ownership / control type
Private (proprietary)
Facility address
14 Cobblestone
Humboldt, TN 38343

National Provider Directory

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

Other organizations with this tax ID 43

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

View all 43

Locations

14 Cobblestone Dr
Humboldt, TN 38343

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1538530753",
    "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": "14 COBBLESTONE DR",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383438637",
            "telephone_number": "731-855-0537",
            "fax_number": "731-855-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA HEALTH SERVICES TN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "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": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TN",
            "license": "L000000012730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "14 Cobblestone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humboldt, TN

Sources for this page

Verify at the official NPI Registry.