RHA HEALTH SERVICES NC, LLC (NPI# 1811029309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811029309 |
| Entity Type | Organization |
| Organization Name | RHA HEALTH SERVICES NC, LLC |
| Other Organization Name | MAXTON |
| Practice Address |
15235 Airport Rd Maxton NC 28364-6821 |
| Mailing Address |
1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 |
| Practice Telephone | 9108449664 |
| Practice Fax Number | 9108449668 |
| Mailing Telephone | 4043642900 |
| Mailing Fax Number | 4043642901 |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2015-09-19 |
| Authorized Official Name | JENNIFER D LOZANO (DIRECTOR) |
| Authorized Official Telephone | 4043642900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300279 | 05 |
| Other Name | Type Code |
|---|---|
| Maxton | 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 |
15235 AIRPORT RD |
| City | MAXTON |
| State | NC |
| Zip Code | 28364-6821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386841302 | Rha Health Services Nc, LLC | Community/Behavioral Health | 15235 Airport Rd, Maxton, NC 28364-6821 | 2007-07-02 |
| 1437281870 | Rha Health Services Nc, LLC | Community/Behavioral Health | 15235 Airport Rd, Maxton, NC 28364-6821 | 2007-03-12 |
| 1952433146 | Rha Health Services Nc, LLC | Community/Behavioral Health | 15235 Airport Rd, Maxton, NC 28364-6821 | 2007-03-12 |
| 1083746291 | Rha Health Services Nc, LLC | Community/Behavioral Health | 15235 Airport Rd, Maxton, NC 28364-6821 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740783976 | Myranda Kari Hammonds | Specialist/Technologist | 11344 Deep Branch Rd., Maxton, NC 28364 | 2018-03-14 |
| 1336695030 | Mariah Oxendine | Counselor | 5981 Mcleod Rd, Maxton, NC 28364 | 2016-09-01 |
| 1174922546 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 120 S Odom St, St. Pauls, NC 28364 | 2014-08-21 |
| 1093138877 | Success Adolescent and Adult Services Inc. | Community/Behavioral Health | 665 E Saunders Street, Maxton, NC 28364 | 2014-01-29 |
| 1710314406 | Lauren Allia Jung | Pharmacist | 106 East Dr. Martin Luther King Jr. Dr., Maxton, NC 28364 | 2013-09-26 |
| 1568725646 | Katina Dianne Dial-scott | Counselor | 202 Hwy 74 West, Maxton, NC 28364 | 2012-06-22 |
| 1659647766 | Bridge of Empowerment,llc | Community/Behavioral Health | 651 East Wilmington Street, Maxton, NC 28364 | 2012-03-23 |
| 1871722637 | Ingram Health Services/manna House,inc | Community/Behavioral Health | 505 West Martin Luther King Drive, Maxton, NC 28364 | 2009-07-14 |
| 1710170238 | Fairley Support Group Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12519 Us Hwy 501 South, Maxton, NC 28364 | 2007-08-20 |
| 1114137692 | Debbie Hammonds Chavis | Specialist | 209 West Third Street, Pembroke, NC 28364 | 2007-05-23 |
| Find all providers in zip 28364 | ||||
| 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 |
|---|---|---|---|---|
| 1093138877 | Success Adolescent and Adult Services Inc. | Community/Behavioral Health | 665 E Saunders Street, Maxton, NC 28364 | 2014-01-29 |
| 1659647766 | Bridge of Empowerment,llc | Community/Behavioral Health | 651 East Wilmington Street, Maxton, NC 28364 | 2012-03-23 |
| 1871722637 | Ingram Health Services/manna House,inc | Community/Behavioral Health | 505 West Martin Luther King Drive, Maxton, NC 28364 | 2009-07-14 |
| 1073753463 | Southeastern Treatment Services, LLC. | Community/Behavioral Health | 109 W Central St, Maxton, NC 28364-1703 | 2009-02-25 |
| 1801057443 | Tt & T Services | Community/Behavioral Health | 106 Mccabe St, Maxton, NC 28364-1735 | 2008-06-17 |
| 1982800702 | Angelo's Care Home, Inc. | Community/Behavioral Health | 10091 Us Highway 74 W, Maxton, NC 28364-8936 | 2007-06-27 |
| 1609911411 | Primary Health Choice, Inc. | Community/Behavioral Health | 22421 Andrew Jackson Hwy, Maxton, NC 28364-6721 | 2007-02-20 |
| 1265686802 | Unity Behavioral Healthcare | Community/Behavioral Health | 11279 Deep Branch Rd, Maxton, NC 28364-8958 | 2008-11-10 |
| 1093974396 | Gate Way Health Care Associates LLC | Community/Behavioral Health | 612 E Dr Martin Luther King Jr Dr, Maxton, NC 28364-1800 | 2008-06-03 |
| 1386841302 | Rha Health Services Nc, LLC | Community/Behavioral Health | 15235 Airport Rd, Maxton, NC 28364-6821 | 2007-07-02 |
| Find all providers in MAXTON | ||||
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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.