RHA HEALTH SERVICES NC, LLC (NPI# 1477612562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477612562 |
| Entity Type | Organization |
| Organization Name | RHA HEALTH SERVICES NC, LLC |
| Other Organization Name | NEVINS 1 |
| Practice Address |
3827 Nevin Rd Charlotte NC 28269-4357 |
| Mailing Address |
1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 |
| Practice Telephone | 7045962224 |
| Mailing Telephone | 4043642900 |
| Mailing Fax Number | 4043642901 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2015-09-19 |
| Authorized Official Name | JENNIFER D LOZANO (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Telephone | 4049682663 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-060-198 | NC | Residential Treatment Facilities |
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
MHL-060-198 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7804988 | 05 |
| Other Name | Type Code |
|---|---|
| Nevins 1 | 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 |
3827 NEVIN RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28269-4357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664438 | Alluring Occupational Therapy Services, Pllc | Occupational Therapy Assistant | 3020-i Prosperity Church Rd, Ste 523, Charlotte, NC 28269 | 2019-11-21 |
| 1366085094 | Crystal R Currie | Counselor | 8824 Cliff Cameron Drive, Uint 107, Charlotte, NC 28269 | 2019-10-25 |
| 1477102879 | Apryl N. Davis | Occupational Therapy Assistant | 3020-i Prosperity Church Rd., Charlotte, NC 28269 | 2019-09-09 |
| 1730744202 | Christopher Paige | Driver | 9805 Statesville Rd., Suite 6198, Charlotte, NC 28269 | 2019-05-09 |
| 1619532892 | Krb Support Services | Prevention Professional | 11634 Oak Street, Charlotte, NC 28269 | 2019-05-03 |
| 1184186769 | Kimberly M Lynch | Local Education Agency (LEA) | 11634 Oat Street, Charlotte, NC 28269 | 2019-04-03 |
| 1356802318 | Arleen M Blythe | Physical Therapy Assistant | 1521 Bucklebury Ct, Charlotte, NC 28269 | 2019-03-30 |
| 1174089064 | Quality Behavioral Health Services, Pllc | Social Worker | 9805 Statesville Rd, # 6095, Charlotte, NC 28269 | 2019-02-15 |
| 1326517855 | Mary Frances Pickens-wilson | Behavior Technician | 4628 Quinton Lane, Charlotte, NC 28269 | 2018-11-14 |
| 1548746605 | Tiffany Michelle Graham | Counselor | 9823 Cooper Run Ln, Charlotte, NC 28269 | 2018-07-12 |
| Find all providers in zip 28269 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| 1184155954 | Stmichaels Healthcare Services | Custodial Care Facility | 5633 Monroe Rd Ste E, Charlotte, NC 28212-5591 | 2017-03-23 |
| 1780058909 | Rose Palms Light of Hope | Custodial Care Facility | 8116 S Tryon St, Ste B3,box123, Charlotte, NC 28273-4300 | 2015-11-26 |
| 1942561527 | Grant Adult Care Homes, Inc. | Custodial Care Facility | 3613 Havenwood Rd, Charlotte, NC 28205-4724 | 2012-05-31 |
| 1932470838 | Easter Seals Ucp North Carolina & Virginia, Inc. | Custodial Care Facility | 622 Bass Ln, Charlotte, NC 28270-2231 | 2012-01-24 |
| 1619202710 | Unlimited Possibilities Family Home Care | Custodial Care Facility | 5003 Tewkesbury Rd, Charlotte, NC 28269-4557 | 2009-10-07 |
| 1770794620 | Shady Harbour Adult Living | Custodial Care Facility | 908 Tom Hunter Road, Charlotte, NC 28213 | 2007-05-24 |
| 1477683308 | Autism Services of Mecklenburg County, Inc. | Custodial Care Facility | 2211-a Executive Street, Charlotte, NC 28208-3655 | 2007-03-07 |
| 1477699411 | Easter Seals Ucp North Carolina & Virginia, Inc. | Custodial Care Facility | 1351 Ashcraft Ln, Charlotte, NC 28209-2422 | 2007-01-29 |
| Find all providers in CHARLOTTE | ||||
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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.