RHA NORTH CAROLINA MR, INC.


Address: 1388 Lewis Fork Baptist Ch Rd, Ferguson, NC 28624-9080
Phone: 3369738151

RHA NORTH CAROLINA MR, INC. (NPI# 1326414665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326414665
Entity Type Organization
Organization Name RHA NORTH CAROLINA MR, INC.
Other Organization Name LEWIS FORK II
Practice Address 1388 Lewis Fork Baptist Ch Rd
Ferguson
NC 28624-9080
Mailing Address 1819 Peachtree Rd Ne
Ste 450
Atlanta
GA 30309-1848
Practice Telephone 3369738151
Mailing Telephone 4043642900
Mailing Fax Number 4043642901
Enumeration Date 2015-08-20
Last Update Date 2015-08-20
Authorized Official Name JENNIFER LOZANO (DIRECTOR OF REVENUE CYCLE)
Authorized Official Telephone 4049682668
Authorized Official Credential MBA, CPC-P
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Lewis Fork II Other Name - Individual/Organization

Office Location

Street Address 1388 LEWIS FORK BAPTIST CH RD
City FERGUSON
State NC
Zip Code 28624-9080

Providers in the same zip code

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
1487789467 Rha Health Services Nc, LLC Intermediate Care Facility, Mentally Retarded 1388 Lewis Fork Baptist Church Road, Ferguson, NC 28624-9080 2007-02-22
1912227901 Tana Phillips Morrow Counselor 532 Champion Mt Pleasant Rd, Ferguson, NC 28624-9117 2010-06-02
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487789467 Rha Health Services Nc, LLC Intermediate Care Facility, Mentally Retarded 1388 Lewis Fork Baptist Church Road, Ferguson, NC 28624-9080 2007-02-22

Providers in the same taxonomy and state

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
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Competitor

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City FERGUSON
Zip Code 28624

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Dataset Information

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.

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