RHA HEALTH SERVICES TN LLC NPI 1538530753

NPI Information

NPI: 1538530753
Provider Name: RHA HEALTH SERVICES TN, LLC

Doing Business As: 14 COBBLESTONE

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
14 COBBLESTONE DR
HUMBOLDT, TN
ZIP 38343
Phone: (731) 855-0537
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RHA HEALTH SERVICES TN, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Humboldt, TN. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. RHA HEALTH SERVICES TN, LLC NPI is 1538530753. The provider is registered as an organization entity type.
The provider Is Doing Business As 14 Cobblestone.

The provider's business location address is:

14 COBBLESTONE DR
HUMBOLDT, TN
ZIP 38343-637
Phone: (731) 855-0537
Fax: (731) 855-1257

The provider's authorized official is Wayne Addison .
The authorized official title is Coo and has the following contact phone number (901) 692-5555.

The enumeration date for this NPI number is 10/14/2015 and was last updated on 10/14/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		L000000012730	TENNESSEE	Yes

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: 5/5/2024

NPI Synchronization or Removal

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