Provider Type Icon

RHA HEALTH SERVICES NC LLC NPI 1083749568


NPI Information

NPI: 1083749568
Provider Name: RHA HEALTH SERVICES NC, LLC

Other Name: BENTON LANE

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2205 BENTON LN
GREENSBORO, NC
ZIP 27455
Phone: (336) 996-7556
Get Directions

RHA HEALTH SERVICES NC, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Greensboro, NC. 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 NC, LLC NPI is 1083749568. The provider is registered as an organization entity type.
The provider Other Name Is Benton Lane.

The provider's business location address is:

2205 BENTON LN
GREENSBORO, NC
ZIP 27455-639
Phone: (336) 996-7556
Fax: (336) 996-7602

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) 364-2900.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 9/24/2018.


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
1251S00000XCommunity/Behavioral HealthNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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
17804552MEDICAIDNORTH 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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.