ROCKY CREEK RETIREMNT PROPERTIES, INC. (NPI# 1295836971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295836971 |
| Entity Type | Organization |
| Organization Name | ROCKY CREEK RETIREMNT PROPERTIES, INC. |
| Practice Address |
8606 Boulder Ct Tampa FL 33615-1414 |
| Practice Telephone | 8138843388 |
| Practice Fax Number | 8138824228 |
| Mailing Telephone | 8138843388 |
| Mailing Fax Number | 8138824228 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2019-06-27 |
| Authorized Official Name | MR. JORGE E MARTINEZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8138843388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 5227 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDWAIVER | 672990800 | 01 |
| FL | 140688400 | 05 |
| Street Address |
8606 BOULDER CT |
| City | TAMPA |
| State | FL |
| Zip Code | 33615-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659575611 | Adelina Liberto | Social Worker | 8606 Boulder Ct, Tampa, FL 33615-1414 | 2007-06-13 |
| 1366524613 | Rocky Creek Retirement Properties, Inc. | Clinic/Center | 8606 Boulder Ct, Tampa, FL 33615-1414 | 2006-10-19 |
| 1093802357 | Rocky Creek Retirement Properties, Inc. | Home Health | 8606 Boulder Ct, Tampa, FL 33615-1414 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083125132 | The Ida House Assisted Living LLC | Assisted Living Facility | 6014 Rosewood Dr, Tampa, FL 33615 | 2017-10-17 |
| 1235671785 | Magnet Home Health Care Services, LLC | Home Health | 5700 Memorial Highway Suite G X H 102, Tampa, FL 33615 | 2016-11-15 |
| 1891247532 | Martin Esuzor | Nurse Practitioner | 7918 Hillsborough Avenue, Tampa, FL 33615 | 2016-10-28 |
| 1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
| 1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
| 1710327101 | Kelly A Alvarez | Case Manager/Care Coordinator | 7007 Cobblewood Ct, Tampa, FL 33615 | 2013-06-28 |
| 1336497080 | Serenity Home of Tampa Alf LLC | Assisted Living Facility | 6013 Cresthill Drive, Tampa, FL 33615 | 2012-08-28 |
| 1063777563 | Jaime Alexander Pacheco | Chiropractor | 6301 Memorial Hwy Suit 304, Tampa, FL 33615 | 2012-07-10 |
| 1558656678 | Scripts Direct, LLC | Pharmacy | 8313 W. Hillsborough Ave., # 260, Tampa, FL 33615 | 2011-06-16 |
| 1508178245 | The Spring of Tampa Bay | Counselor | 2810 N. 35 St, Tampa, FL 33615 | 2010-07-10 |
| Find all providers in zip 33615 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704980 | Ocean Breeze Alf LLC | Assisted Living Facility | 4713 Kelly Rd, Tampa, FL 33615-5018 | 2020-09-14 |
| 1770191082 | Twala Neia Atwood | Assisted Living Facility | 3111 W Napoleon Ave, Tampa, FL 33611-5222 | 2020-07-22 |
| 1568080075 | Loving Health Care, Corp II | Assisted Living Facility | 4817 Ridge Point Dr, Tampa, FL 33624-6325 | 2020-07-10 |
| 1063036481 | La Rosa Alf Corp | Assisted Living Facility | 1615 Carnegie Cir, Tampa, FL 33619-5621 | 2020-06-01 |
| 1538783261 | L&y Paradise Alf Corp | Assisted Living Facility | 14314 Capitol Dr, Tampa, FL 33613-2116 | 2020-05-28 |
| 1205467107 | Bella Vita Alf At Latania LLC | Assisted Living Facility | 3413 Latania Dr, Tampa, FL 33618-4759 | 2020-01-29 |
| 1689213605 | Haven Alf, Inc. | Assisted Living Facility | 1514 Haven Bnd, Tampa, FL 33613-1133 | 2019-12-23 |
| 1194362491 | Sh Carrollwood, LLC | Assisted Living Facility | 13550 S Village Dr, Tampa, FL 33618-8420 | 2019-12-05 |
| 1235772062 | Bella Vita Assisted Living Community | Assisted Living Facility | 13202 Lake Magdalene Blvd, Tampa, FL 33618-3008 | 2019-10-24 |
| 1912549296 | Galaad Alf Corp | Assisted Living Facility | 7508 Clearview Dr, Tampa, FL 33634-2930 | 2019-10-08 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.