RHA HEALTH SERVICES NC LLC NPI 1336208487

NPI Information

NPI: 1336208487
Provider Name: RHA HEALTH SERVICES NC, LLC

Other Name: RIVER BEND

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

Address:
140 PIRATES RD
NEW BERN, NC
ZIP 28562
Phone: (252) 638-6519
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RHA HEALTH SERVICES NC, LLC is an intermediate care facility mentally retarded in New Bern, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. RHA HEALTH SERVICES NC, LLC NPI is 1336208487. The provider is registered as an organization entity type.
The provider Other Name Is River Bend.

The provider's business location address is:

140 PIRATES RD
NEW BERN, NC
ZIP 28562-872
Phone: (252) 638-6519

The provider's authorized official is Jennifer 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 34D2179480 - other - saiop program 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-025-010	NORTH CAROLINA	No
2	315P00000X	Intermediate Care Facility, Intellectual Disabilities		MHL-025-010	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	3416279	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: 5/5/2024

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