Organization Active NPI

Rha Health Services NC, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Wilkesboro, NC
National Provider Identifier
1720123052
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
RHA HEALTH SERVICES NC, LLC
Practice address
554 Ridge LN
Wilkesboro, NC 28697-7106
Phone
(828) 262-5450
Fax
(828) 262-5730
NPI assigned
Feb 21, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jennifer D Lozano
Title
Director of Revenue Cycle
Phone
(404) 364-2900

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

Locations

554 Ridge Ln
Wilkesboro, NC 28697
Phone (828) 262-5450

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

554 Ridge LN
Wilkesboro, NC 28697-7106

Mailing address

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
341601BMedicaidNC

Other names 1

NPPES NPI Registry
  • LAKEWOOD Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 16, 2015.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1720123052",
    "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": "554 RIDGE LN",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286977106",
            "telephone_number": "828-262-5450",
            "fax_number": "828-262-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA HEALTH SERVICES NC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341601B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKEWOOD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.