Provider Demographics
NPI:1518197623
Name:RHA HOWELL CARE CENTER
Entity Type:Organization
Organization Name:RHA HOWELL CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MSE
Authorized Official - Phone:704-545-7200
Mailing Address - Street 1:3738 HOWELL DAY CARE RD
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:NC
Mailing Address - Zip Code:28551-6808
Mailing Address - Country:US
Mailing Address - Phone:252-566-9011
Mailing Address - Fax:252-566-5959
Practice Address - Street 1:11955 HOWELL CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:NC
Practice Address - Zip Code:28107-0000
Practice Address - Country:US
Practice Address - Phone:704-545-0119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-013-147385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCMHL-013-147OtherNC LICENSE NUMBER - RESPITE