Southern Avenue

LBN: Rha Health Services Nc, Llc
Southern Avenue is an health care organization with primary practice located at 2001 Southern Ave , Fayetteville NC 28306-1757. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Rha Health Services Nc, Llc can be contacted via phone (910) 424-2121, or through Lozano, Jennifer D via phone (404) 364-2900.

Contact Information

Primary practice address
2001 Southern Ave Fayetteville NC 28306-1757
Phone: (910) 424-2121
Fax: (910) 424-7045
Website:
Map and Directions
Authorized official contact:
Name: Lozano, Jennifer D
Phone: (404) 364-2900

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1487799151
LBN Legal business name Rha Health Services Nc, Llc
DBA Doing business as Southern Avenue
Authorized official Lozano, Jennifer D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Sep 16th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487799151 NPPES
North Carolina MEDICAID 3406447

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