NPI Information

  • NPI: 1528438637
  • Provider Name: RHA HEALTH SERVICES TN, LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Doing Business As: 89 WINDALE
  • Address: 89 WINDALE DR
    JACKSON, TN
    ZIP 38305
  • Phone: (731) 855-0537

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NPI Details

RHA HEALTH SERVICES TN, LLC 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 HEALTH SERVICES TN, LLC NPI is 1528438637. The provider is registered as an organization entity type.
The provider Is Doing Business As 89 Windale.

The provider's business location address is:

89 WINDALE DR
JACKSON, TN
ZIP 38305-010
Phone: (731) 855-0537
Fax: (731) 855-1257

The provider's authorized official is Wayne Addison .
The authorized official title is Coo and has the following contact phone number (901) 692-5555.

The enumeration date for this NPI number is 10/1/2015 and was last updated on 10/1/2015.

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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesL000000012750TENNESSEEYes

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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