RAPHA RESIDENTIAL CARE
NPI 1619137114
Alzheimer Center (Dementia Center) in Gaston, SC

Q: What is Rapha Residential Care's NPI number?

The NPI number for Rapha Residential Care is 1619137114. It was assigned to this organization in the NPPES registry on June 10, 2008.

Q: What is Rapha Residential Care's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Active since June 10, 2008CLIA 42D0992878 · Waiver

3959 FISH HATCHERY RD, GASTON, SC 29053(803) 755-6541(803) 955-0453 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rapha Residential Care NPPES

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

RAPHA RESIDENTIAL CARE (NPI 1619137114) is a healthcare organization registered as an alzheimer center (dementia center) in Gaston, South Carolina and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists David Mansell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1619137114

Entity TypeOrganization

Primary Taxonomy311500000X

Legal Business NameRAPHA RESIDENTIAL CARE

Location Address3959 FISH HATCHERY RDGaston, SC 29053-9038

Mailing Address3959 Fish Hatchery RdGaston, SC 29053-9038 · (803) 755-6541 · Fax (803) 955-0453

Phone(803) 755-6541

Fax(803) 955-0453

Organization SubpartNo

Authorized OfficialDavid MansellAdministrator · (803) 755-6541

Enumeration DateJune 10, 2008

✔ NPI 1619137114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities

Taxonomy Code311500000X

License✔ Licensed in SC · 1466-C06

Definition

A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X · License 1466-C06 (SC)

3959 FISH HATCHERY RD, Gaston, SC 29053

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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 42D0992878

Rapha Residential Care · Gaston, SC

Active · expires Oct 28, 2027

CLIA Number42D0992878

Laboratory TypeAssisted Living Facility

Certificate Effective DateOctober 29, 2025

Certificate Expiration DateOctober 28, 2027

Laboratory DirectorDebra A. Williams

Laboratory Phone(803) 755-6541

Laboratory LocationRapha Residential Care3959 Fish Hatchery Rd, Gaston, SC 29053

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYRAM ATLANTA LLC

Assisted Living Facility

3959 FISH HATCHERY RD
GASTON, SC 29053

Lexington County (864) 608-1820

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 Rapha Residential Care's NPI number?

The NPI number for Rapha Residential Care is 1619137114. It was assigned to this organization in the NPPES registry on June 10, 2008.

Where is Rapha Residential Care located?

Rapha Residential Care is located at 3959 Fish Hatchery Rd, Gaston, SC 29053. The listed phone number is (803) 755-6541.

What is Rapha Residential Care's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Does Rapha Residential Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0992878) is associated with this NPI, valid through October 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rapha Residential Care was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.