STATESVILLE
NPI 1649302076
Community/Behavioral Health in Statesville, NC

NPI Status: Active since March 12, 2007

Contact Information

190 COMMERCE BLVD
STATESVILLE, NC
ZIP 28625
Phone: (704) 872-3257
Fax: (704) 872-3651

Get Directions Write a Review

  • Organization
  • Community/Behavioral Health
  • CLIA Number: 34D0707485
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 05-23-2027

About STATESVILLE

This page provides the complete NPI Profile along with additional information for Statesville, a provider established in Statesville, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1649302076 assigned on March 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's other name is Statesville. The authorized official of this NPI record is Jennifer D Lozano (Director)

NPI
1649302076
Provider Legal Name
RHA HEALTH SERVICES NC, LLC
Other Organization Name
STATESVILLE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
190 COMMERCE BLVD STATESVILLE, NC 28625
Location Phone
(704) 872-3257
Location Fax
(704) 872-3651
Mailing Address
1819 PEACHTREE RD NE STE 450 ATLANTA, GA 30309
Mailing Phone
(404) 364-2900
Mailing Fax
(704) 872-3651
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-12-2007
Last Update Date
09-19-2015
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER D LOZANO

Authorized Official Title
DIRECTOR
Authorized Official Phone
(404) 364-2900

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8300683GMEDICAID (05)NC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D0707485
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
May 24, 2025
Certificate Expiration Date
May 23, 2027
Laboratory Director
ROBIN CORRELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Statesville to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for STATESVILLE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1649302076, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 3 → 6 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 8 + 9 + 6 + 0 + 4 + 0 + 1 + 4 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1649302076.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Community/Behavioral Health
190 COMMERCE BLVD
STATESVILLE, NC 28625
Community/Behavioral Health
190 COMMERCE BLVD
STATESVILLE, NC 28625
Community/Behavioral Health
190 COMMERCE BLVD
STATESVILLE, NC 28625
Community/Behavioral Health
190 COMMERCE BLVD
STATESVILLE, NC 28625
Internal Medicine
190 COMMERCE BLVD
STATESVILLE, NC 28625

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649302076, enumerated as an "organization" on March 12, 2007.

The provider is located at 190 COMMERCE BLVD STATESVILLE, NC 28625 and the phone number is (704) 872-3257.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.