1. Home
  2. Directory
  3. North Carolina
  4. Creedmoor
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

DOVE ROAD
NPI 1053456731
Intermediate Care Facility, Intellectual Disabilities in Creedmoor, NC

Active since February 21, 2007CLIA Certified · 2 labs
102 DOVE RD, CREEDMOOR, NC 27522(919) 528-2558(919) 525-2971 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dove Road NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOVE ROAD (NPI 1053456731) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Creedmoor, North Carolina and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Jennifer D Lozano, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1053456731
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameRHA HEALTH SERVICES NC, LLC
Location Address102 DOVE RDCreedmoor, NC 27522-9703
Mailing Address1819 Peachtree Rd Ne, Ste 450Atlanta, GA 30309-1848 · (404) 364-2900 · Fax (404) 364-2901
Phone(919) 528-2558
Fax(919) 525-2971
Organization SubpartNo
Authorized OfficialJennifer D LozanoDirector Of Revenue Cycle · (404) 364-2900
Enumeration DateFebruary 21, 2007
Last NPPES UpdateSeptember 16, 2015
✔ NPI 1053456731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
102 DOVE RD, Creedmoor, NC 27522
Open in Google Maps ↗

Other Names 1

Other NameDove Road

Other Identifiers 1

Medicaid3416536NC

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2150622

Dove Road · Creedmoor, NC
Active · expires Jun 27, 2028
CLIA Number34D2150622
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJune 28, 2026
Certificate Expiration DateJune 27, 2028
Laboratory DirectorDorene Chavis
Laboratory Phone(919) 528-2555
Laboratory LocationDove Road102 Dove Road, Creedmoor, NC 27522
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2166813

Rha Health Services · Creedmoor, NC
Active · expires Jan 6, 2027
CLIA Number34D2166813
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorBridget L. Eaton
Laboratory Phone(919) 528-2558
Laboratory LocationRha Health Services105 Park Avenue, Creedmoor, NC 27522
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rha Health Services Nc, LLC's NPI number?

The NPI number for Rha Health Services Nc, LLC is 1053456731. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is also known as Dove Road.

Where is Rha Health Services Nc, LLC located?

Rha Health Services Nc, LLC is located at 102 Dove Rd, Creedmoor, NC 27522. The listed phone number is (919) 528-2558.

What is Rha Health Services Nc, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Rha Health Services Nc, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Rha Health Services Nc, LLC was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.