RHA HEALTH SERVICES NC, LLC (NPI# 1174944292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174944292 |
| Entity Type | Organization |
| Organization Name | RHA HEALTH SERVICES NC, LLC |
| Other Organization Name | OLD 60 HOME |
| Practice Address |
258 Old Highway 60 Wilkesboro NC 28697-9561 |
| Mailing Address |
1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 |
| Practice Telephone | 4043642900 |
| Practice Fax Number | 4043642901 |
| Mailing Telephone | 4043642900 |
| Mailing Fax Number | 4043642901 |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2015-10-28 |
| Authorized Official Name | JENNIFER D LOZANO (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Telephone | 4043642900 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| OLD 60 HOME | 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 |
258 OLD HIGHWAY 60 |
| City | WILKESBORO |
| State | NC |
| Zip Code | 28697-9561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346679206 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 330 Darnell Lane, Wilkesboro, NC 28697 | 2013-11-01 |
| 1639456676 | Strategic Interventions | Community/Behavioral Health | 176 Rest Home Road, Wilkesboro, NC 28697 | 2011-11-04 |
| 1063703247 | Tessa Walter | Physical Therapist | 371 Old Farms Road, Wilkesboro, NC 28697 | 2011-04-22 |
| 1922242742 | Pradip Thakkar, Md | Family Medicine | 1600 Curtis Bridge Road, Wilkesboro, NC 28697 | 2009-04-23 |
| 1366656746 | Khot Medical Clinic | Family Medicine | 1216 D School St, Wilkesboro, NC 28697 | 2007-05-09 |
| 1295868644 | Amy K. Gardner | Marriage & Family Therapist | 507 Courthouse Drive, Wilkesboro, NC 28697 | 2007-03-14 |
| 1457405854 | Appalachian Counseling | Counselor | 100 North Bridge St, Suite 101, Wilkesboro, NC 28697 | 2007-01-22 |
| 1194893818 | Thomas K Mcmahan Md Pa | Internal Medicine | 1710 Parkwood Drive, Wilkesboro, NC 28697 | 2006-12-01 |
| 1952480246 | Walter Clyde Holloway | Chiropractor | 1240 School Street, Wilkesboro, NC 28697 | 2006-11-06 |
| 1609958750 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 1801 Us Hwy 421, Wilkesboro, NC 28697 | 2006-10-19 |
| Find all providers in zip 28697 | ||||
| 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 |
|---|---|---|---|---|
| 1952759011 | Daymark Recovery Services Inc | Community/Behavioral Health | 1677 N Nc Highway 16, Classrooms 701,702,703, Wilkesboro, NC 28697-8324 | 2016-05-31 |
| 1144687930 | Voca Corporation of North Carolina | Community/Behavioral Health | 323 Forest Hill Dr, Wilkesboro, NC 28697-3005 | 2016-01-25 |
| 1639456676 | Strategic Interventions | Community/Behavioral Health | 176 Rest Home Road, Wilkesboro, NC 28697 | 2011-11-04 |
| 1659515963 | Voca Corporation of North Carolina | Community/Behavioral Health | 1203 School St, Suite 200, Wilkesboro, NC 28697-2633 | 2009-04-30 |
| 1720352610 | True Behavioral Healthcare, Inc. | Community/Behavioral Health | 374 Lincoln Heights Rd, Wilkesboro, NC 28697-8756 | 2012-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
| 1578178588 | Emmanuel Homecare, Inc. | Community/Behavioral Health | 12551 Hashanli Pl, Matthews, NC 28105-3401 | 2020-09-15 |
| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | WILKESBORO |
| Zip Code | 28697 |
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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.