NEW WAVE RTH LLC – NPI #1093448078
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

NEW WAVE RTH LLC is a community based residential treatment facility located in MEDFORD, OR. NPPES has assigned the NPI number 1093448078 to NEW WAVE RTH LLC on July 06, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 2 years ago on Jan 09, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEW WAVE RTH LLC below.

NPI Profile for
NEW WAVE RTH LLC

NPI Number
1093448078
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NEW WAVE RTH LLC
Primary location
2240 TERREL ST.
MEDFORD, OR 97501
Phone: (458) 226-5347 Fax: (541) 327-4573
Mailing address
338 BLACK OAK DR.
MEDFORD, OR 97504
Phone: (503) 789-5345 Fax:
Organization Subpart
No
Authorized Official
BRENDA WATSON
OWNER
Phone: (541) 254-0630
Updated
Certification Date
Mar 20, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.