135 PECK – NPI #1376912022
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.

135 PECK is a community based residential treatment facility located in DYER, TN. NPPES has assigned the NPI number 1376912022 to 135 PECK on September 23, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “135 PECK” 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.

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 135 PECK below.

NPI Profile for
RHA HEALTH SERVICES TN, LLC

NPI Number
1376912022
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): 135 PECK
Primary location
135 S PECK SWITCH CV
DYER, TN 38330-2200
Phone: (731) 855-0537 Fax: (731) 855-1257
Mailing address
2055 US HIGHWAY 45 BYP S
TRENTON, TN 38382-3501
Phone: (731) 855-0537 Fax: (731) 855-1257
Organization Subpart
No
Authorized Official
WAYNE ADDISON
COO
Phone: (901) 692-5555
Updated
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 L000000012734

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.