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LAKE BRANDT
NPI 1700167434
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Greensboro, NC

Active since September 08, 2011
6184 LAKE BRANDT RD, GREENSBORO, NC 27455(336) 643-3300(336) 885-5092 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lake Brandt NPPES

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

LAKE BRANDT (NPI 1700167434) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Greensboro, North Carolina and active in the NPI registry since September 2011. The organization lists Jennifer D Lozano, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1700167434
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameRHA HEALTH SERVICES NC, LLC
Location Address6184 LAKE BRANDT RDGreensboro, NC 27455-8234
Mailing Address1819 Peachtree Rd Ne, Ste 450Atlanta, GA 30309-1848 · (404) 364-2900 · Fax (404) 364-2901
Phone(336) 643-3300
Fax(336) 885-5092
Organization SubpartNo
Authorized OfficialJennifer D LozanoDirector Of Revenue Cycle · (404) 364-2900
Enumeration DateSeptember 8, 2011
Last NPPES UpdateSeptember 16, 2015
✔ NPI 1700167434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

6184 LAKE BRANDT RD, Greensboro, NC 27455
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Other Names 1

Other NameLake Brandt

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 34D2245160

Rha Health Services, LLC - Lake Brandt Group Home · Greensboro, NC
Expired · Dec 8, 2025
CLIA Number34D2245160
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateDecember 9, 2023
Certificate Expiration DateDecember 8, 2025
Laboratory DirectorJennifer Parrish
Laboratory Phone(336) 885-8090
Laboratory LocationRha Health Services, LLC - Lake Brandt Group Home6184 Lake Brandt Road, Greensboro, NC 27455
CLIA data matches this NPI record on: Address Name
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.

RHA HEALTH SERVICES NC, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
6184 LAKE BRANDT RD
GREENSBORO, NC 27455
Guilford County (336) 996-7556

Frequently Asked Questions

What is RHA HEALTH SERVICES NC, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1700167434, enumerated as an "organization" on September 08, 2011.

Where is the provider located?

The provider is located at 6184 LAKE BRANDT RD GREENSBORO, NC 27455 and the phone number is (336) 643-3300.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.