NPIMap

Organization Active NPI

Rha Behavioral Health NC LLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1790358919
Registry record updated Jul 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RHA BEHAVIORAL HEALTH NC LLC
Practice address
1014 Hay St
Fayetteville, NC 28305-5316
Phone
(800) 848-0180
NPI assigned
Jul 24, 2021
Last updated
Jul 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2021

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

Authorized official

Name
Jennifer D Lozano
Title
VP Financial SVCS
Phone
(404) 968-2663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1014 Hay St
Fayetteville, NC 28305-5316

Mailing address

1819 Peachtree Rd NE Ste 450
Atlanta, GA 30309-1853
Phone (800) 848-0180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170914003770 NC Part B Supplier - Clinic/Group Practice 4688948656 Receives reassigned benefits from 93 practitioners
21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Laurinburg, NC; Elkin, NC; Lexington, NC; Lumberton, NC; Monroe, NC; Morehead City, NC; New Bern, NC; Roanoke Rapids, NC…

Other NPIs on the same Medicare enrollment 21

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 21

National Provider Directory

National Provider Directory
Tax ID family
Rha Behavioral Health NC LLC52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627084800000",
    "number": "1790358919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 PEACHTREE RD NE STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091853",
            "telephone_number": "800-848-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055316",
            "telephone_number": "800-848-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA BEHAVIORAL HEALTH NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-24",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP FINANCIAL SVCS",
        "authorized_official_telephone_number": "404-968-2663"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.