RHA HEALTH SERVICES NC, LLC (NPI# 1083759591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083759591 |
| Entity Type | Organization |
| Organization Name | RHA HEALTH SERVICES NC, LLC |
| Other Organization Name | FAN JOY I |
| Practice Address |
235 Fanjoy Rd Statesville NC 28625-8510 |
| Mailing Address |
1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 |
| Practice Telephone | 7048723257 |
| Practice Fax Number | 7048723651 |
| Mailing Telephone | 4043642900 |
| Mailing Fax Number | 4043642901 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2015-09-16 |
| Authorized Official Name | JENNIFER D LOZANO (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Telephone | 4043642900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3416367 | 05 |
| Other Name | Type Code |
|---|---|
| FAN JOY I | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710423181 | Rha Health Services Nc, LLC | Community/Behavioral Health | 195 Ervin Woods Dr, Kannapolis, NC 28081-9080 | 2017-01-10 |
| 1487003513 | Rha Health Services Nc, LLC | Respite Care | 1619 Fairfield Dr, Gastonia, NC 28054-5171 | 2016-06-09 |
| 1023478294 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 619 Ray Ave, Hendersonville, NC 28792-2668 | 2016-03-02 |
| 1740649417 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 310 Locust Street, West Jefferson, NC 28694 | 2016-02-23 |
| 1023499555 | Rha Health Services Nc, LLC | Community/Behavioral Health | 281 Wheeler Hills Rd, Burnsville, NC 28714-8406 | 2015-06-10 |
| 1326426800 | Rha Health Services Nc, LLC | Custodial Care Facility | 1502 N Kerr Ave, Wilmington, NC 28405-1110 | 2015-05-15 |
| 1336527803 | Rha Health Services Nc, LLC | Day Training, Developmentally Disabled Services | 1564 Union Rd Ste D, Gastonia, NC 28054-5302 | 2015-05-15 |
| 1013395698 | Rha Health Services Nc, LLC | Community/Behavioral Health | 176 Wildcat Rd, Deep Gap, NC 28618-9267 | 2015-05-14 |
| 1376921957 | Rha Health Services Nc, LLC | Respite Care | 605 Pinetree Dr, New Bern, NC 28562-4429 | 2015-05-14 |
| 1396123972 | Rha Health Services Nc, LLC | Custodial Care Facility | 4763 Milliken St, Shallotte, NC 28470-4467 | 2015-05-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RHA HEALTH SERVICES NC, LLC | 1819 Peachtree Rd Ne Ste 450, Atlanta, GA 30309-1853 |
| Street Address |
235 FANJOY RD |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-8510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518002039 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 121 Bonnie Ln, Statesville, NC 28625-8989 | 2007-02-21 |
| 1346385861 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 748 Sharon Dr, Statesville, NC 28625-5569 | 2007-02-21 |
| 1619002847 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 2101 Beauty St, Statesville, NC 28625-6497 | 2007-02-21 |
| 1184769390 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 450 Twin Oaks Rd, Statesville, NC 28625-8593 | 2007-02-21 |
| 1174668743 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 436 Mocksville Hwy, Statesville, NC 28625-8268 | 2007-02-21 |
| 1700911930 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 214 Hollingswood Dr, Statesville, NC 28625-4725 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702937 | Gha Autism Supports | Intermediate Care Facility, Mentally Retarded | 44012 Morrow Mountain Rd, Albemarle, NC 28001-8616 | 2020-05-21 |
| 1811517774 | Educare Community Living Corporation-north Carolina | Intermediate Care Facility, Mentally Retarded | 834 Tyvola Rd Ste 116, Charlotte, NC 28217-3542 | 2020-04-21 |
| 1598125460 | Rha Health Services Nc LLC | Intermediate Care Facility, Mentally Retarded | 410 N Mineral Springs Rd, Durham, NC 27703-3618 | 2016-03-04 |
| 1023478294 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 619 Ray Ave, Hendersonville, NC 28792-2668 | 2016-03-02 |
| 1740649417 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 310 Locust Street, West Jefferson, NC 28694 | 2016-02-23 |
| 1841655453 | Journeys Healthcare | Intermediate Care Facility, Mentally Retarded | 515 Carver Moore Rd, Lake Waccamaw, NC 28450-9713 | 2015-12-24 |
| 1326414665 | Rha North Carolina Mr, Inc. | Intermediate Care Facility, Mentally Retarded | 1388 Lewis Fork Baptist Ch Rd, Ferguson, NC 28624-9080 | 2015-08-20 |
| 1609299916 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 1802 Strickland Bridge Rd, Fayetteville, NC 28304-5739 | 2014-01-23 |
| 1861822314 | Voca Corporation of North Carolina | Intermediate Care Facility, Mentally Retarded | 4109 Enoch Dr, Charlotte, NC 28269-2578 | 2013-11-20 |
| 1902144314 | Rouse's Group Home Inc | Intermediate Care Facility, Mentally Retarded | 5820 Nc 135, Stoneville, NC 27048-8478 | 2013-01-18 |
| Find all providers with the same taxonomy | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.