Rapha House/Rapha 4 Kidz

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

RAPHA HOUSE/RAPHA 4 KIDZ

Practice address

543 Cox Rd
Suite D-1
Gastonia, NC 28054

Phone

(704) 460-9214

Fax

(704) 865-1354

NPI assigned

Apr 23, 2009

Organization subpart

No

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

Authorized official

Name

Althea Denise Duckett, QMHP

Title

Ceo

Phone

(704) 898-2618

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rapha House/Rapha 4 Kidz Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiana Roberts, MSW, LCSW-A

  • Clinical Social Worker
  • Gastonia, NC
  • NPI 1316612690
  NPD (past)

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1639313430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 COX RD STE C8",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540607",
            "telephone_number": "704-898-2618",
            "fax_number": "980-251-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 COX RD",
            "address_2": "SUITE D-1",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28054",
            "telephone_number": "704-460-9214",
            "fax_number": "704-865-1354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "179 West Main Street",
            "address_purpose": "LOCATION",
            "city": "Forest City",
            "state": "NC",
            "postal_code": "28043",
            "country_code": "US",
            "telephone_number": "704-689-1390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAPHA HOUSE/RAPHA 4 KIDZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "ALTHEA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-898-2618",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOSTER CARE LICENSING AGENCY",
            "identifier": "CODE 145",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rapha House/Rapha 4 Kidz",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rapha House/Rapha 4 Kidz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenee Danielle Randall
• Amber Randolph
• Amy Lynn Randolph, FNP
• Randy Mullins, LPC, PLLC
• Mark Bruce Ranzinger, DDS
• Rapha Laboratories, LLC
• Rapha Transit, LLC
• Rapid 8 Transportation LLC
• Cory Rasmussen, M.D.
• Anthony Edward Raspanti, MD

• Foster Care Agency in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Foster Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.