Rha Health Services NC, LLC
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Oxford, NC
NPI 1700083243 · NPPES record last updated Sep 16, 2015
Key facts
- NPI
- 1700083243
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- Legal business name
- RHA HEALTH SERVICES NC, LLC
- Practice address
- 5509 Dorsey Rd
Oxford, NC 27565-8309 - Phone
- (919) 528-2558
- Fax
- (919) 528-2971
- NPI assigned
- Jun 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Jennifer D Lozano
- Title
- Director of Revenue Cycle
- Phone
- (404) 364-2900
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Rha Health Services NC LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Yes |
Addresses
Primary practice location
5509 Dorsey Rd
Oxford, NC 27565-8309
Mailing address
1819 Peachtree Rd NE
Ste 450
Atlanta, GA 30309-1848
Phone (404) 364-2900
Other names
- GRANVILLE ICFMR GROUP HOME
NPI Registry JSON
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442361600000",
"number": "1700083243",
"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": "5509 DORSEY RD",
"city": "OXFORD",
"state": "NC",
"postal_code": "275658309",
"telephone_number": "919-528-2558",
"fax_number": "919-528-2971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RHA HEALTH SERVICES NC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-28",
"last_updated": "2015-09-16",
"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"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GRANVILLE ICFMR GROUP HOME",
"code": "5",
"type": "Other Name"
}
]
}
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All providers in Oxford, NC · Intellectual Disabilities Intermediate Care Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.