Shelbourne

LBN: Rha Health Services Nc, Llc
Shelbourne is an health care organization with primary practice located at 2524 Shelburne Pl , Charlotte NC 28227-9554. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded is the primary health care specialty. Rha Health Services Nc, Llc can be contacted via phone (704) 545-7075, or through Lozano, Jennifer D via phone (404) 968-2663.

Contact Information

Primary practice address
2524 Shelburne Pl Charlotte NC 28227-9554
Phone: (704) 545-7075
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lozano, Jennifer D
Phone: (404) 968-2663

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X MHL-060-390 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X MHL-060-390 North Carolina

Profile Details

NPI number 1770646408
LBN Legal business name Rha Health Services Nc, Llc
DBA Doing business as Shelbourne
Authorized official Lozano, Jennifer D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2006
Last updated Sep 19th, 2015 - about 11 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 1770646408 NPPES
North Carolina MEDICAID 3426140

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