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RHA HEALH SERVICES NC LLC NPI 1043363104


NPI Information

NPI: 1043363104
Provider Name: RHA HEALH SERVICES NC, LLC
Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
500 SEAN DR
GREENVILLE, NC
ZIP 27834
Phone: (252) 758-1101
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RHA HEALH SERVICES NC, LLC is an intermediate care facility mentally retarded in Greenville, NC. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. RHA HEALH SERVICES NC, LLC NPI is 1043363104. The provider is registered as an organization entity type.

The provider's business location address is:

500 SEAN DR
GREENVILLE, NC
ZIP 27834-839
Phone: (252) 758-1101

The provider's authorized official is Jennifer D Lozano .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (404) 968-2663.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 10/1/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-074-030NORTH CAROLINANo
2315P00000XIntermediate Care Facility, Mentally RetardedYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17907634MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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