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JACKSON STREET GROUP HOME
NPI 1750416228
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Coats, NC

Active since February 23, 2007
141 E JACKSON ST, COATS, NC 27521(919) 894-5124(919) 894-1488 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Street Group Home NPPES

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

JACKSON STREET GROUP HOME (NPI 1750416228) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Coats, North Carolina and active in the NPI registry since February 2007. The organization lists Jennifer D Lozano, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1750416228
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameRHA HEALTH SERVICES NC, LLC
Location Address141 E JACKSON STCoats, NC 27521-8308
Mailing Address1819 Peachtree Rd Ne, Ste 450Atlanta, GA 30309-1848 · (404) 364-2900 · Fax (404) 364-2901
Phone(919) 894-5124
Fax(919) 894-1488
Organization SubpartNo
Authorized OfficialJennifer D LozanoDirector Of Revenue Cycle · (404) 364-2900
Enumeration DateFebruary 23, 2007
Last NPPES UpdateSeptember 24, 2018
✔ NPI 1750416228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
141 E JACKSON ST, Coats, NC 27521
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Other Names 1

Other NameJackson Street Group Home

Other Identifiers 1

Medicaid7802843NC

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
141 E JACKSON ST
COATS, NC 27521
Harnett County (910) 897-3566

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 1750416228. It was assigned to this organization in the NPPES registry on February 23, 2007. The provider is also known as Jackson Street Group Home.

Where is Rha Health Services Nc, LLC located?

Rha Health Services Nc, LLC is located at 141 E Jackson St, Coats, NC 27521. The listed phone number is (919) 894-5124.

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.

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 7 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.