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GRANVILLE ICFMR GROUP HOME
NPI 1700083243
Intermediate Care Facility, Intellectual Disabilities in Oxford, NC

Active since June 28, 2007CLIA 34D2211960 · Waiver
5509 DORSEY RD, OXFORD, NC 27565(919) 528-2558(919) 528-2971 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Granville Icfmr Group Home NPPES

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

GRANVILLE ICFMR GROUP HOME (NPI 1700083243) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Oxford, North Carolina and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists Jennifer D Lozano, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1700083243
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameRHA HEALTH SERVICES NC, LLC
Location Address5509 DORSEY RDOxford, NC 27565-8309
Mailing Address1819 Peachtree Rd Ne, Ste 450Atlanta, GA 30309-1848 · (404) 364-2900 · Fax (404) 364-2901
Phone(919) 528-2558
Fax(919) 528-2971
Organization SubpartNo
Authorized OfficialJennifer D LozanoDirector Of Revenue Cycle · (404) 364-2900
Enumeration DateJune 28, 2007
Last NPPES UpdateSeptember 16, 2015
✔ NPI 1700083243 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.
5509 DORSEY RD, Oxford, NC 27565
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Other Names 1

Other NameGranville Icfmr Group Home

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 34D2211960

Rha Health Services - Oxford House · Oxford, NC
Active · expires Feb 1, 2027
CLIA Number34D2211960
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorBridget Eaton
Laboratory Phone(252) 643-3210
Laboratory LocationRha Health Services - Oxford House5509 Dorsey Road, Oxford, NC 27565
CLIA data matches this NPI record on: Address
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.

GRANVILLE COUNTY GROUP HOMES, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
5509 DORSEY RD
OXFORD, NC 27565
Granville County (919) 528-4610

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 1700083243. It was assigned to this organization in the NPPES registry on June 28, 2007. The provider is also known as Granville Icfmr Group Home.

Where is Rha Health Services Nc, LLC located?

Rha Health Services Nc, LLC is located at 5509 Dorsey Rd, Oxford, NC 27565. 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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2211960) is associated with this NPI, valid through February 1, 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 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.