RHA HEALTH SERVICES NC LLC NPI 1043379340

NPI Information

NPI: 1043379340
Provider Name: RHA HEALTH SERVICES NC, LLC

Other Name: BEAR CREEK

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

Address:
5840 GREENWOOD DR
LA GRANGE, NC
ZIP 28551
Phone: (252) 566-9181
Get Directions

RHA HEALTH SERVICES NC, LLC is an intermediate care facility mentally retarded in La Grange, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. RHA HEALTH SERVICES NC, LLC NPI is 1043379340. The provider is registered as an organization entity type.
The provider Other Name Is Bear Creek.

The provider's business location address is:

5840 GREENWOOD DR
LA GRANGE, NC
ZIP 28551-815
Phone: (252) 566-9181
Fax: (252) 566-2912

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 CLIA number assigned to this NPI record is 34D1074407 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 9/18/2015.

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	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL-054-006	NORTH CAROLINA	No
2	315P00000X	Intermediate Care Facility, Intellectual Disabilities		MHL-054-006	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3416034	MEDICAID	NORTH 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: 4/28/2024

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