1802 PENNINGTON – NPI #1063881761
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1802 PENNINGTON is a community based residential treatment facility located in MURFREESBORO, TN. NPPES has assigned the NPI number 1063881761 to 1802 PENNINGTON on September 23, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “1802 PENNINGTON” is a dba name, the actual legal business name for this organization is RHA HEALTH SERVICES TN, LLC. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was last updated on Oct 18, 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 1802 PENNINGTON below.

NPI Profile for
RHA HEALTH SERVICES TN, LLC

NPI Number
1063881761
Enumeration Date

(more than 10 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
RHA HEALTH SERVICES TN, LLC
Doing Business As (dba): 1802 PENNINGTON
Primary location
1802 PENNINGTON DR
MURFREESBORO, TN 37129-0803
Phone: (615) 895-7788 Fax: (615) 895-6999
Mailing address
211 PERIMETER CENTER PKWY NE STE 750
ATLANTA, GA 30346-1318
Phone: (770) 630-7290 Fax: (404) 364-2901
Organization Subpart
No
Authorized Official
JENNIFER LOZANO
SVP FINANCIAL SERVICES
Phone: (404) 968-2663
Updated
Certification Date
Oct 18, 2024

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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 TN L000000012140

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.