RHA HEALTH SERVICES NC LLC NPI 1821369570

NPI Information

  • NPI: 1821369570
  • Provider Name: RHA HEALTH SERVICES NC, LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Other Name: SOUTH MOORE DRIVE
  • CLIA Number: 34D2166813
  • Address: 109 S MOORE DR
    ROXBORO, NC
    ZIP 27574
  • Phone: (919) 528-2558

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NPI Details

RHA HEALTH SERVICES NC, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Roxboro, 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 1821369570. The provider is registered as an organization entity type.
The provider Other Name Is South Moore Drive.

The provider's business location address is:

109 S MOORE DR
ROXBORO, NC
ZIP 27574-884
Phone: (919) 528-2558
Fax: (919) 528-2971

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 CLIA number assigned to this NPI record is 34D2166813 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2012 and was last updated on 10/23/2015.

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 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: 11/21/2025

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