365 BEARD
NPI 1104107820
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Salisbury, NC

Active since September 08, 2011CLIA 34D2197967 · Waiver
1205 BEARD ST, SALISBURY, NC 28144(704) 630-0565(704) 278-4799 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About 365 Beard NPPES

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

365 BEARD (NPI 1104107820) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Salisbury, North Carolina and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through October 28, 2026 and lists Jennifer D Lozano, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1104107820
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameRHA HEALTH SERVICES NC, LLC
Location Address1205 BEARD STSalisbury, NC 28144-3866
Mailing Address1819 Peachtree Rd Ne, Ste 450Atlanta, GA 30309-1848 · (404) 364-2900 · Fax (404) 364-2901
Fax(704) 278-4799
Organization SubpartNo
Authorized OfficialJennifer D LozanoDirector Of Revenue Cycle · (404) 364-2900
Enumeration DateSeptember 8, 2011
Last NPPES UpdateSeptember 24, 2018
✔ NPI 1104107820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1205 BEARD ST, Salisbury, NC 28144

Other Names 1

Other Name365 Beard

CLIA Laboratory Certificates CMS CLIA

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 34D2197967

Rha Health Services LLC / Beard Street · Salisbury, NC
Active · expires Oct 28, 2026
CLIA Number34D2197967
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorKatherine Benton
Laboratory Phone(704) 925-8041
Laboratory LocationRha Health Services LLC / Beard Street1205 Beard Street, Salisbury, NC 28144
CLIA data matches this NPI record on: Address
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 1104107820. It was assigned to this organization in the NPPES registry on September 8, 2011. The provider is also known as 365 Beard.

Where is Rha Health Services Nc, LLC located?

Rha Health Services Nc, LLC is located at 1205 Beard St, Salisbury, NC 28144. The listed phone number is (704) 630-0565.

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

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Does Rha Health Services Nc, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2197967) is associated with this NPI, valid through October 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rha Health Services Nc, LLC was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.