RHA HEALTH SERVICES NC LLC NPI 1083776926

NPI Information

NPI: 1083776926
Provider Name: RHA HEALTH SERVICES NC, LLC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Other Name: WEST FRIENDLY
Address: 4011 W FRIENDLY AVE
GREENSBORO, NC
ZIP 27410
Phone: (336) 294-5345

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NPI Details

RHA HEALTH SERVICES NC, LLC is an intermediate care facility mentally retarded in Greensboro, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. RHA HEALTH SERVICES NC, LLC NPI is 1083776926. The provider is registered as an organization entity type.
The provider Other Name Is West Friendly.

The provider's business location address is:

4011 W FRIENDLY AVE
GREENSBORO, NC
ZIP 27410-645
Phone: (336) 294-5345

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 12/15/2006 and was last updated on 9/19/2015.

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		MHL-041-074	NORTH CAROLINA	No
2	315P00000X	Intermediate Care Facility, Intellectual Disabilities		MHL-041-074	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	3416585	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: 3/30/2025

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