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HOLLOWAY STREET HOME
NPI 1942345459
Intermediate Care Facility, Intellectual Disabilities in Durham, NC

Active since February 21, 2007CLIA 34D2211956 · Waiver
4795 STANLEY RD, DURHAM, NC 27704(919) 528-2558(919) 528-2971 Get Directions Write a Review

NPPES record last updated: October 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Holloway Street Home NPPES

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

HOLLOWAY STREET HOME (NPI 1942345459) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Durham, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists Jennfer D Lozano, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1942345459
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameRHA HEALTH SERVICES NC, LLC
Location Address4795 STANLEY RDDurham, NC 27704-9604
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 OfficialJennfer D LozanoDirector Of Revenue Cycle · (404) 364-2900
Enumeration DateFebruary 21, 2007
Last NPPES UpdateOctober 23, 2015
✔ NPI 1942345459 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.
4795 STANLEY RD, Durham, NC 27704
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Other Names 1

Other NameHolloway Street Home

Other Identifiers 1

Medicaid3416112NC

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 34D2211956

Rha Health Services - Stanley Road · Durham, NC
Active · expires Feb 1, 2027
CLIA Number34D2211956
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 - Stanley Road4795 Stanley Road, Durham, NC 27704
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 1942345459. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is also known as Holloway Street Home.

Where is Rha Health Services Nc, LLC located?

Rha Health Services Nc, LLC is located at 4795 Stanley Rd, Durham, NC 27704. 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 34D2211956) 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 October 23, 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.