ROCKY CREEK RETIREMENT PROPERTIES, INC. (NPI# 1366524613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366524613 |
| Entity Type | Organization |
| Organization Name | ROCKY CREEK RETIREMENT PROPERTIES, INC. |
| Other Organization Name | ADVANTAGE REHABILATATION SERVICES |
| 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 | 2006-10-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TOM WINGO (CFO) |
| Authorized Official Telephone | 8138843388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
OPT686663 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ADVANTAGE REHABILATATION SERVICES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093802357 | Rocky Creek Retirement Properties, Inc. | Home Health | 8606 Boulder Ct, Tampa, FL 33615-1414 | 2006-10-06 |
| Street Address |
8606 BOULDER CT |
| City | TAMPA |
| State | FL |
| Zip Code | 33615-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295836971 | Rocky Creek Retiremnt Properties, Inc. | Assisted Living Facility | 8606 Boulder Ct, Tampa, FL 33615-1414 | 2006-09-26 |
| 1659575611 | Adelina Liberto | Social Worker | 8606 Boulder Ct, Tampa, FL 33615-1414 | 2007-06-13 |
| 1093802357 | Rocky Creek Retirement Properties, Inc. | Home Health | 8606 Boulder Ct, Tampa, FL 33615-1414 | 2006-10-06 |
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|---|---|---|---|---|
| 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 |
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| 1508178245 | The Spring of Tampa Bay | Counselor | 2810 N. 35 St, Tampa, FL 33615 | 2010-07-10 |
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| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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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.