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RHA HEALTH SERVICES NC LLC NPI 1477612562


NPI Information

NPI: 1477612562
Provider Name: RHA HEALTH SERVICES NC, LLC

Other Name: NEVINS 1

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
3827 NEVIN RD
CHARLOTTE, NC
ZIP 28269
Phone: (704) 596-2224
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RHA HEALTH SERVICES NC, LLC is an adult care home custodial care facility in Charlotte, NC. The provider is 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. RHA HEALTH SERVICES NC, LLC NPI is 1477612562. The provider is registered as an organization entity type.
The provider Other Name Is Nevins 1.

The provider's business location address is:

3827 NEVIN RD
CHARLOTTE, NC
ZIP 28269-357
Phone: (704) 596-2224

The provider's authorized official is Jennifer D Lozano .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (404) 968-2663.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 9/19/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-060-198NORTH CAROLINANo
2311ZA0620XCustodial Care FacilityAdult Care HomeMHL-060-198NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17804988MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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