RHA HEALTH SERVICES NC, LLC (NPI# 1487789467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487789467 |
| Entity Type | Organization |
| Organization Name | RHA HEALTH SERVICES NC, LLC |
| Other Organization Name | LEWIS FORK I & II |
| Practice Address |
1388 Lewis Fork Baptist Church Road Ferguson NC 28624-9080 |
| Mailing Address |
1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 |
| Practice Telephone | 8282625450 |
| Practice Fax Number | 8282625730 |
| Mailing Telephone | 4043642900 |
| Mailing Fax Number | 4043642901 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2018-09-24 |
| 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 | 3406512 | 05 |
| Other Name | Type Code |
|---|---|
| LEWIS FORK I & II | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1358 Lewis Fork Baptist Ch Rd, Ferguson, NC 286249080 | 8282326844 |
| 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 |
1388 LEWIS FORK BAPTIST CHURCH ROAD |
| City | FERGUSON |
| State | NC |
| Zip Code | 28624-9080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518344035 | Carnaggio and Piper Dmd Ms Pa | Dentist | 181 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2015-05-05 |
| 1669715868 | David A Crowe | Family Medicine | West Wilkes Family Medicine, 171 West Wilkes Medical Center Blvd., Ferguson, NC 28624-8925 | 2013-04-05 |
| 1548541477 | Rick Hensley Dmd, Pa Dba Rick Hensley Family Dentistry | Dentist | 181 Medical Center Road, West Wilkes Medical Center, Ferguson, NC 28624-8925 | 2011-09-06 |
| 1306880091 | Thomas Keith Mcmahan | Internal Medicine | 171 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2006-06-15 |
| 1013324375 | Wilkes Physician Network, Inc. | Family Medicine | 171 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2014-07-18 |
| 1215289590 | Heather Anderson Grant | Nurse Practitioner | 171 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2012-10-10 |
| 1801832886 | West Wilkes Medical Center, Inc. | Clinic/Center | 171 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2006-06-20 |
| 1346852704 | Holly Elizabeth Church | Student in an Organized Health Care Education/Training Program | 730 Mount Pleasant Rd, Ferguson, NC 28624-9026 | 2020-08-18 |
| 1326414665 | Rha North Carolina Mr, Inc. | Intermediate Care Facility, Mentally Retarded | 1388 Lewis Fork Baptist Ch Rd, Ferguson, NC 28624-9080 | 2015-08-20 |
| 1912227901 | Tana Phillips Morrow | Counselor | 532 Champion Mt Pleasant Rd, Ferguson, NC 28624-9117 | 2010-06-02 |
| Find all providers in zip 28624 | ||||
| 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 |
|---|---|---|---|---|
| 1326414665 | Rha North Carolina Mr, Inc. | Intermediate Care Facility, Mentally Retarded | 1388 Lewis Fork Baptist Ch Rd, Ferguson, NC 28624-9080 | 2015-08-20 |
| 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 |
| 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 |
| 1053657973 | Robin Hood Group Home | Intermediate Care Facility, Mentally Retarded | 1507 Robinhood Rd, Wilmington, NC 28401-6623 | 2012-12-20 |
| Find all providers with the same taxonomy | ||||
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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.