RHA HEALTH SERVICES NC, LLC (NPI# 1235261678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235261678 |
| Entity Type | Organization |
| Organization Name | RHA HEALTH SERVICES NC, LLC |
| Other Organization Name | STATESVILLE BHS |
| Practice Address |
190 Commerce Blvd Statesville NC 28625-8526 |
| 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 | 2007-03-12 |
| Last Update Date | 2015-10-15 |
| 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 | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300683H | 05 |
| Other Name | Type Code |
|---|---|
| STATESVILLE BHS | 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 |
190 COMMERCE BLVD |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-8526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124046198 | Life Enhancement Medical Services Pllc | Family Medicine | 190 Commerce Blvd, Statesville, NC 28625-8526 | 2006-07-18 |
| 1790982841 | Rha Health Services Nc, LLC | Community/Behavioral Health | 190 Commerce Blvd, Statesville, NC 28625-8526 | 2007-07-02 |
| 1790817120 | Rha Health Services Nc, LLC | Community/Behavioral Health | 190 Commerce Blvd, Statesville, NC 28625-8526 | 2007-03-12 |
| 1649302076 | Rha Health Services Nc, LLC | Community/Behavioral Health | 190 Commerce Blvd, Statesville, NC 28625-8526 | 2007-03-12 |
| 1154456416 | Rha Health Services Nc, LLC | Community/Behavioral Health | 190 Commerce Blvd, Statesville, NC 28625-8526 | 2007-02-23 |
| 1487739579 | Richard M Pavelock | Specialist | 190 Commerce Blvd, Statesville, NC 28625-8526 | 2006-10-26 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477058899 | Life Journey Care | Community/Behavioral Health | 898 River Hill Rd, Statesville, NC 28625-9112 | 2018-03-27 |
| 1316359961 | Winford Brown Ramseur & Assoc | Community/Behavioral Health | 132 Court St, Statesville, NC 28677-5803 | 2014-05-29 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1154602886 | Rha Health Services Nc, LLC | Community/Behavioral Health | 148 James Farm Rd, Statesville, NC 28625-2707 | 2011-09-08 |
| 1609157338 | Rha Health Services Nc, LLC | Community/Behavioral Health | 3329 Winchester Ln, Statesville, NC 28625-4546 | 2011-09-08 |
| 1427339159 | Rha Health Services Nc, LLC | Community/Behavioral Health | 335 N Greenbriar Rd, Statesville, NC 28625-4536 | 2011-09-08 |
| 1518248244 | Rha Health Services Nc, LLC | Community/Behavioral Health | 303 Saint Andrews Rd, Statesville, NC 28625-4658 | 2011-09-08 |
| 1659514636 | Cnc Access Inc | Community/Behavioral Health | 110 Stockton St, Statesville, NC 28677-5253 | 2009-04-07 |
| 1891936076 | Paths To Success | Community/Behavioral Health | 215 S Tradd St, Statesville, NC 28677-5859 | 2009-03-17 |
| 1780850685 | Barium Springs Home for Children | Community/Behavioral Health | 211 Barium Springs Drive, Stultz Building Therapeutic Foster Care, Statesville, NC 28677 | 2008-05-01 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
Please comment or provide details below to improve the information on RHA HEALTH SERVICES NC, LLC.
| 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.