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RHA TRENTON MR INC. NPI 1215262654


NPI Information

NPI: 1215262654
Provider Name: RHA TRENTON MR INC.

Other Name: 361 OAKFIELD RD.

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 44D0891176

Address:
361 OAKFIELD RD.
JACKSON, TN
ZIP 38305
Phone: (731) 855-0537
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RHA TRENTON MR INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Jackson, 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 TRENTON MR INC. NPI is 1215262654. The provider is registered as an organization entity type.
The provider Other Name Is 361 Oakfield Rd..

The provider's business location address is:

361 OAKFIELD RD.
JACKSON, TN
ZIP 38305
Phone: (731) 855-0537
Fax: (731) 855-1257

The provider's authorized official is Anita Deckard .
The authorized official title is Administrator and has the following contact phone number (731) 855-0537.

The CLIA number assigned to this NPI record is 44D0891176 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2009 and was last updated on 10/2/2009.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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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