RHA HEALTH SERVICES NC, LLC (NPI# 1548305196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548305196 |
| Entity Type | Organization |
| Organization Name | RHA HEALTH SERVICES NC, LLC |
| Other Organization Name | SMITH STREET |
| Practice Address |
112 Smith St Cleveland NC 27013-9413 |
| Mailing Address |
1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 |
| Practice Telephone | 7042789681 |
| Practice Fax Number | 7042784799 |
| 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 | 3406519 | 05 |
| Other Name | Type Code |
|---|---|
| SMITH STREET | 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 |
112 SMITH ST |
| City | CLEVELAND |
| State | NC |
| Zip Code | 27013-9413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013138 | Shirley C Hampton | In Home Supportive Care | 210 Clement St, Cleveland, NC 27013 | 2020-04-28 |
| 1285261628 | Unique Home Care Services Inc. | In Home Supportive Care | 210 Clement Street, Cleveland, NC 27013 | 2020-03-25 |
| 1538218979 | John F Barr | Family Medicine | 11711 Stateville Blvd, Cleveland, NC 27013 | 2007-01-08 |
| 1629154695 | Ruth Louise Rosenbaum | Counselor | 1316 Ashley Sq., Center of Well-being, Winston-salem, NC 27013 | 2006-10-31 |
| 1326138751 | Kenneth James Rasbornik | Dentist | 11707 Statesville Blvd, Cleveland, NC 27013 | 2006-10-14 |
| 1942752977 | Emily Wagner | Speech-Language Pathologist | 185 Charlois Boulevard, Winston-salem, NC 27013 | 2016-10-25 |
| 1336251289 | Helen Louisa Snyder | Nurse Practitioner | 6349 Highway 550, Cuba Health Center Presbyterian Medical Services, Cuba, NM 27013 | 2006-08-31 |
| 1285753939 | Carolina Speech Therapy Inc | Occupational Therapist | 410 Bridle Path Farm Rd, Cleveland, NC 27013-8157 | 2007-03-27 |
| 1487102943 | Brittany Stefan | Speech-Language Pathologist | 410 Bridle Path Farm Rd, Cleveland, NC 27013-8157 | 2016-09-13 |
| 1881061927 | Maryelizabeth Mcewen | Speech-Language Pathologist | 410 Bridle Path Farm Rd, Cleveland, NC 27013-8157 | 2015-08-25 |
| Find all providers in zip 27013 | ||||
| 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 |
|---|---|---|---|---|
| 1700201118 | Tamara M Cowans | Intermediate Care Facility, Mentally Retarded | 9409 Easton Ave, Cleveland, OH 44104-5417 | 2014-02-21 |
| 1679877518 | Life Bridges, Inc. | Intermediate Care Facility, Mentally Retarded | 207 Kile Lake Road, Cleveland, TN 37323 | 2011-01-07 |
| 1376847251 | Life Bridges, Inc. | Intermediate Care Facility, Mentally Retarded | 209 Kile Lake Road, Cleveland, TN 37323 | 2011-01-06 |
| 1801001524 | Cuyahoga County Bd. of Mrdd | Intermediate Care Facility, Mentally Retarded | 6809 Smith Rd, Cleveland, OH 44130-2681 | 2007-05-14 |
| 1164636007 | Cuyahoga County Bd. of Mrdd | Intermediate Care Facility, Mentally Retarded | 2440 W 14th St, Cleveland, OH 44113-4406 | 2007-05-10 |
| 1427262369 | Cuyahoga County Bd. of Mrdd | Intermediate Care Facility, Mentally Retarded | 2980 Van Aken Blvd, Cleveland, OH 44120-2862 | 2007-05-10 |
| 1407060684 | Cuyahoga County Bd of Mrdd | Intermediate Care Facility, Mentally Retarded | 1905 Green Rd, Cleveland, OH 44112-1021 | 2007-05-09 |
| 1487868790 | Cuyahoga County Bd of Mrdd | Intermediate Care Facility, Mentally Retarded | 4248 W 35th St, Cleveland, OH 44109-3108 | 2007-05-09 |
| 1336353432 | Cuyahoga County Bd of Mrdd | Intermediate Care Facility, Mentally Retarded | 4520 Monticello Blvd, Cleveland, OH 44143-2840 | 2007-05-09 |
| 1104039924 | Cuyahoga County Bd. of Mrdd | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Rd, Cleveland, OH 44130-3310 | 2007-05-08 |
| Find all providers in CLEVELAND | ||||
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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.