NPIMap

Organization Active NPI

Rha Health Services NC, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Statesville, NC
National Provider Identifier
1609157338
Registry record updated Sep 24, 2018
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 HEALTH SERVICES NC, LLC
Practice address
3329 Winchester LN
Statesville, NC 28625-4546
Phone
(704) 873-6186
Fax
(704) 872-3651
NPI assigned
Sep 8, 2011
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, MBA
Title
Director of Revenue Cycle
Phone
(404) 364-2900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3329 Winchester LN
Statesville, NC 28625-4546

Mailing address

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

Other names 1

  • CAMELOT 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

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1609157338",
    "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": "3329 WINCHESTER LN",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254546",
            "telephone_number": "704-873-6186",
            "fax_number": "704-872-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA HEALTH SERVICES NC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "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",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "CAMELOT",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CAMELOT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Statesville, 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.