NPIMap

Rha Health Services NC, LLC

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Hendersonville, NC

NPI 1811032089 · NPPES record last updated Sep 24, 2018

Key facts

NPI
1811032089
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
Legal business name
RHA HEALTH SERVICES NC, LLC
Practice address
28 Hillpark Dr
Hendersonville, NC 28739-4714
Phone
(828) 877-4062
Fax
(828) 698-0627
NPI assigned
Feb 21, 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

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Rha Health Services NC LLC (351 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Intellectual Disabilities Intermediate Care Facility 315P00000X Yes

Addresses

Primary practice location

28 Hillpark Dr
Hendersonville, NC 28739-4714

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
3436402MedicaidNC

Other names

  • COUNTRY COVE GROUP HOME Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 24, 2018.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1811032089",
    "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": "28 HILLPARK DR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394714",
            "telephone_number": "828-877-4062",
            "fax_number": "828-698-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA HEALTH SERVICES NC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "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"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3436402",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COUNTRY COVE GROUP HOME",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "COUNTRY COVE GROUP HOME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hendersonville, NC

All providers in Hendersonville, NC · Intellectual Disabilities Intermediate Care Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.