RHA HEALTH SERVICES NC, LLC


Address: 4763 Milliken St, Shallotte, NC 28470-4467
Phone: 9102516616

RHA HEALTH SERVICES NC, LLC (NPI# 1396123972) 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) 1396123972
Entity Type Organization
Organization Name RHA HEALTH SERVICES NC, LLC
Other Organization Name SHALLOTTE HOME
Practice Address 4763 Milliken St
Shallotte
NC 28470-4467
Mailing Address 1819 Peachtree Rd Ne
Suite 450
Atlanta
GA 30309-1848
Practice Telephone 9102516616
Mailing Telephone 4043642900
Mailing Fax Number 4043642901
Enumeration Date 2015-05-14
Last Update Date 2015-09-16
Authorized Official Name JENNIFER LOZANO (DIRECTOR OF REVENUE CYCLE)
Authorized Official Telephone 4049682663
Authorized Official Credential MBA, CPC-P
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Shallotte Home Other Name - Individual/Organization

Other Provider IDs and Locations

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
1184002768 Rha Health Services Nc, LLC Respite Care 202 Dorchester Pl, Wilmington, NC 28412-7324 2015-05-14

Other Data Sources

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

Office Location

Street Address 4763 MILLIKEN ST
City SHALLOTTE
State NC
Zip Code 28470-4467

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609336981 Open Gate Counseling Services Pllc Counselor 117 Holden Beach Rd Sw, Suite 109a, Shallotte, NC 28470 2019-03-22
1689188286 Justice Pharmacy,inc Pharmacy 301 S Willis Dr, #112, Shallotte, NC 28470 2017-11-20
1609224914 Emergeortho, Pa Orthopaedic Surgery 5160 Ocean Highway West, Shallotte, NC 28470 2016-05-26
1720458326 Raleigh Durham Medical Group, Pa Nurse Practitioner 4748 Main Street, Shallotte, NC 28470 2015-09-25
1265741128 Janet Rhyne Martin Speech-Language Pathologist 4902 Main Street, Suite D, Shallotte, NC 28470 2010-09-27
1225261555 Jason Keeley Riemann Chiropractor 4911 Bridgers Rd, Shallotte, NC 28470 2009-09-03
1215108972 Frederick A. Williams,dmd, Pa Dentist 343 Whiteville Road, Shallotte, NC 28470 2008-03-20
1053599316 Brian Salvatore Lank Chiropractor 728 Village Rd, Sw, Shallotte, NC 28470 2008-02-08
1356539795 Life Changers Intervention Services LLC Community/Behavioral Health 5039 Main St Suite 2, Shallotte, NC 28470 2007-10-10
1235267766 Edmond Cochard Psychologist 120 Coastal Horizons Drive, Shalotte, NC 28470 2007-02-28
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316426380 Ridge Care Senior Living, Inc. Custodial Care Facility 5490 Arbor Branch Dr, Shallotte, NC 28470-6103 2018-08-10
1467590042 Waterside Healthcare Inc. Custodial Care Facility 520 Mulberry St, Shallotte, NC 28470-4586 2007-02-03
1285254011 Ocean Isle Operations LLC Custodial Care Facility 5490 Arbor Branch Dr, Shallotte, NC 28470-6103 2020-04-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578162061 Lewis E Williams Custodial Care Facility 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 2020-10-26
1861008583 Arbor Landing At Hampstead LLC Custodial Care Facility 13937 Us Highway 17, Hampstead, NC 28443-4041 2020-09-17
1124645544 Charlotte Sp Senior Housing Opco, LLC Custodial Care Facility 6041 Piedmont Row Drive, Charlotte, NC 28208 2020-07-01
1740804111 Happy Hearts Group Home Custodial Care Facility 6255 Burlington Rd, Gibsonville, NC 27249-8783 2020-06-02
1730703422 Graham 4 Enterprises Custodial Care Facility 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 2020-05-29
1477177111 C&s Adult Care LLC, Dba Deal Care Inn Custodial Care Facility 1075 Deal Rd, Mooresville, NC 28115-6719 2020-05-28
1114554516 Cassandra Davis Custodial Care Facility 131 Huntington Rd, Louisburg, NC 27549 2020-03-25
1356975767 Cornerstone Community Service Custodial Care Facility 2220 Southgate St, Durham, NC 27703-2102 2020-02-24
1477184653 Rose Vista Assisted Living, LLC Custodial Care Facility 2130 Rose Vista Rd, Kinston, NC 28504-8230 2020-01-28
1104456011 Regina Williams Custodial Care Facility 511 Tansy Drive, Charlotte, NC 28214 2020-01-20
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Competitor

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City SHALLOTTE
Zip Code 28470

Improve Information

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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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