1130 HIGH – NPI #1497125504
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.

1130 HIGH is a community based residential treatment facility located in TRENTON, TN. NPPES has assigned the NPI number 1497125504 to 1130 HIGH on October 01, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “1130 HIGH” 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 1130 HIGH below.

NPI Profile for
RHA HEALTH SERVICES TN, LLC

NPI Number
1497125504
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): 1130 HIGH
Primary location
1130 S HIGH ST
TRENTON, TN 38382-3036
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 L000000012732

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.