RHA TRENTON MR INC. (NPI# 1356676787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356676787 |
| Entity Type | Organization |
| Organization Name | RHA TRENTON MR INC. |
| Other Organization Name | 89 WINDALE DR. |
| Practice Address |
89 Windale Dr Jackson TN 38305-6010 |
| Mailing Address |
2055 Us Highway 45 Byp S Trenton TN 38382-3501 |
| Practice Telephone | 7318550537 |
| Practice Fax Number | 7318551257 |
| Mailing Telephone | 7318550537 |
| Mailing Fax Number | 7318551257 |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |
| Authorized Official Name | MS. ANITA DECKARD (ADMINISTRATOR) |
| Authorized Official Telephone | 7318550537 |
| Is Organization Subpart | Y |
| Parent Organization Name | RHA TRENTON MR INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| 89 Windale Dr. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053616672 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 205 Turner's Loop, Humboldt, TN 38343 | 2011-01-12 |
| 1053646489 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 307 E Eaton St, Trenton, TN 38382 | 2009-10-02 |
| 1861727299 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 603 Dove Hollow, Humboldt, TN 38343 | 2009-10-02 |
| 1215262654 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 361 Oakfield Rd., Jackson, TN 38305 | 2009-10-02 |
| 1124353560 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 367 Oakfield Rd., Jackson, TN 38305 | 2009-10-02 |
| 1497080832 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Cobblestone Dr., Humboldt, TN 38343 | 2009-10-02 |
| 1134454564 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2202 Hwy 45 By-pass, Trenton, TN 38382 | 2009-10-02 |
| 1043545478 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2206 Hwy 45 By-pass, Trenton, TN 38382 | 2009-10-02 |
| 1063747491 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 S. Peck's Switch, Dyer, TN 38330 | 2009-10-02 |
| 1316272743 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2055 Hwy 45 By-pass A, Trenton, TN 38382 | 2009-10-02 |
| Street Address |
89 WINDALE DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528438637 | Rha Health Services Tn, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 89 Windale Dr, Jackson, TN 38305-6010 | 2015-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780208116 | Indya Daniels | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 262 Carriage House Dr, Jackson, TN 38305-2228 | 2020-06-01 |
| 1871088922 | Tate Enterprises, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1105 Laura Ave, Jackson, MS 39209-7008 | 2018-06-29 |
| 1609375781 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 976 W Veterans Hwy, Jackson, NJ 08527-3337 | 2018-02-05 |
| 1841670775 | The Open Door of Nj | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 319 Sapphire Dr, Jackson, NJ 08527-1364 | 2015-06-05 |
| 1699155887 | Developmental Disabilities Association of Nj Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Henry St, Jackson, NJ 08527-4650 | 2015-06-03 |
| 1982084075 | National Mentor Healthcare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 880 Wright Debow Rd, Jackson, NJ 08527-5428 | 2015-06-03 |
| 1760861389 | The Arc Ocean County Chapter, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 76 Buckingham Dr, Jackson, NJ 08527-2640 | 2015-05-28 |
| 1588074116 | Morning Star Behavioral Associates LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 219 Quail Crk, Jackson, MO 63755-3810 | 2014-05-05 |
| 1174868707 | Household of Faith | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 341 Old Griffin Rd, Jackson, GA 30233-4952 | 2012-12-07 |
| 1053682724 | Center for Family Life Extension, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1160 Mclean St, Jackson, MS 39209-7251 | 2012-01-26 |
| Find all providers in JACKSON | ||||
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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.