ROCK HAVEN NURSING HOME, INC. (NPI# 1346353497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346353497 |
| Entity Type | Organization |
| Organization Name | ROCK HAVEN NURSING HOME, INC. |
| Practice Address |
401 Se Stallings Dr Nacogdoches TX 75964-7204 |
| Practice Telephone | 9365699411 |
| Practice Fax Number | 9365696511 |
| Mailing Fax Number | 9365696511 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CECIL WAYNE HOPSON (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 9365699411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 117889 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 4953 | 05 |
| Street Address |
401 SE STALLINGS DR |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75964-7204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679917546 | Jeff D Miller LLC | Skilled Nursing Facility | 401 Se Stallings Dr, Nacogdoches, TX 75964-7204 | 2013-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497250450 | Aubrey Elyse Laurent | Specialist/Technologist | 5623 County Road 817, Nacogdoches, TX 75964 | 2018-03-29 |
| 1821194168 | Gary Warren Mcclinton | Chiropractor | 1923 South Street, Nacogdoches, TX 75964 | 2006-09-15 |
| 1215337720 | Whitney Revette Hamilton | Physician Assistant | 1106 South St, Nacogdoches, TX 75964 | 2014-09-03 |
| 1881171353 | Lauren Homer | Nurse Practitioner | 115 County Road 9151, Nacogdoches, TX 75964-0272 | 2018-07-26 |
| 1285139444 | Adam's Therapy Services Pllc | Physical Therapist | 3002 Westward Dr, Nacogdoches, TX 75964-1207 | 2018-03-28 |
| 1811205370 | Cbl Medical Enterprises, Inc. | Home Health | 2719 Westward Dr, Nacogdoches, TX 75964-1229 | 2010-09-17 |
| 1396787834 | Wt Manor Lp | Skilled Nursing Facility | 3001 Westward Dr, Nacogdoches, TX 75964-1232 | 2006-06-11 |
| 1437106960 | Arbor Assisted Living, Lp | Assisted Living Facility | 3002 Westward Dr, Nacogdoches, TX 75964-1232 | 2006-05-29 |
| 1326529645 | Douglas Bowlin | Physical Therapy Assistant | 3001 Westward Dr, Nacogdoches, TX 75964-1232 | 2018-08-24 |
| 1083195630 | Aimee Bird | Speech-Language Pathologist | 3001 Westward Dr, Nacogdoches, TX 75964-1232 | 2018-08-22 |
| Find all providers in zip 75964 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922660471 | Castro County Hospital District | Nursing Facility/Intermediate Care Facility | 701 Butler Blvd, Dimmitt, TX 79027-2720 | 2019-07-05 |
| 1023674520 | Eunice Nadine Hall | Nursing Facility/Intermediate Care Facility | 110 W. Troupe St, Mabank, TX 75147-8651 | 2019-05-10 |
| 1467945626 | Regency Ihs of Windsor Mission Oaks LLC | Nursing Facility/Intermediate Care Facility | 3030 S Roosevelt Ave, San Antonio, TX 78214-2337 | 2018-06-12 |
| 1508363086 | Solomon Ishaq | Nursing Facility/Intermediate Care Facility | 1818 Arundel Dr, Carrollton, TX 75007-3012 | 2018-04-10 |
| 1740798651 | Mission Valley Nursing and Transitional Care LLC | Nursing Facility/Intermediate Care Facility | 1200 S Bryan Rd, Mission, TX 78572-6840 | 2018-01-12 |
| 1841738580 | Su Casa Adult Foster Home | Nursing Facility/Intermediate Care Facility | 12462 Paseo De Arco Ct, El Paso, TX 79928-5669 | 2017-02-02 |
| 1225402753 | West Wharton County Hospital District | Nursing Facility/Intermediate Care Facility | 248 Wisteria Ln, El Campo, TX 77437-2545 | 2015-11-20 |
| 1447635040 | Sarah Padlan I | Nursing Facility/Intermediate Care Facility | 3808 Veterans Blvd, Studio 6, Del Rio, TX 78840-2859 | 2015-07-23 |
| 1902289358 | Fnu Anushree | Nursing Facility/Intermediate Care Facility | 328 Bedford Rd Apt 247, Bedford, TX 76022-8032 | 2015-07-02 |
| 1699154278 | Royal Manor Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 4545 S Buckner Blvd, Dallas, TX 75227-4207 | 2015-05-28 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75964 |
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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.