ROUND ROCK SCC LLC (NPI# 1366870107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366870107 |
| Entity Type | Organization |
| Organization Name | ROUND ROCK SCC LLC |
| Other Organization Name | TRINITY CARE CENTER |
| Practice Address |
1000 E Main St Round Rock TX 78664-4442 |
| Mailing Address |
600 N Pearl St Ste 1050 Dallas TX 75201-7495 |
| Practice Telephone | 5126343000 |
| Practice Fax Number | 5126343074 |
| Mailing Telephone | 2142527600 |
| Mailing Fax Number | 2142527704 |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | MICHAEL BEAL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2142527600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001025583 | 05 |
| Other Name | Type Code |
|---|---|
| Trinity Care Center | Doing Business As Name - Organization |
| Street Address |
1000 E MAIN ST |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-4442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891330494 | Caraday Trinity LLC | Skilled Nursing Facility | 1000 E Main St, Round Rock, TX 78664-4442 | 2019-11-07 |
| 1477111961 | Weon Kyung Ahn | Occupational Therapy Assistant | 1000 E Main St, Round Rock, TX 78664-4442 | 2019-05-30 |
| 1104308816 | Jeanine Verkaik | Occupational Therapy Assistant | 1000 E Main St, Round Rock, TX 78664-4442 | 2018-08-30 |
| 1437630548 | Aleksandra Nikolovska | Physical Therapy Assistant | 1000 E Main St, Round Rock, TX 78664-4442 | 2018-08-27 |
| 1487135091 | Thomas Jacob Bull | Physical Therapy Assistant | 1000 E Main St, Round Rock, TX 78664-4442 | 2018-08-22 |
| 1982766556 | Pm Management-trinity Nc LLC | Skilled Nursing Facility | 1000 E Main St, Round Rock, TX 78664-4442 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184046856 | Round Rock Snf Operations LLC | Skilled Nursing Facility | 4100 College Park, Round Rock, TX 78665-1522 | 2014-01-14 |
| 1003251265 | Bel Air Continuing Care Center Ltd Co | Skilled Nursing Facility | 4105 Teravista Club Dr, Round Rock, TX 78665-1525 | 2013-05-01 |
| 1366726762 | Mason Round Rock Op LLC | Skilled Nursing Facility | 4100 College Park Drive, Round Rock, TX 78665-1522 | 2011-10-04 |
| 1669643961 | Pm Management - Park Valley Nc LLC | Skilled Nursing Facility | 17751 Park Valley Dr, Round Rock, TX 78681-3592 | 2008-03-14 |
| 1174156673 | Hamilton County Hospital District | Skilled Nursing Facility | 17751 Park Valley Dr, Round Rock, TX 78681-3592 | 2020-02-13 |
| 1497390082 | Stratford Hospital District | Skilled Nursing Facility | 401 Oakwood Blvd, Round Rock, TX 78681-4067 | 2019-11-07 |
| 1891330494 | Caraday Trinity LLC | Skilled Nursing Facility | 1000 E Main St, Round Rock, TX 78664-4442 | 2019-11-07 |
| 1346892536 | Park Valley Health Care Center Ltd. Co. | Skilled Nursing Facility | 17751 Park Valley Dr, Round Rock, TX 78681-3592 | 2019-07-09 |
| 1932663242 | Park Valley Operations LLC | Skilled Nursing Facility | 17751 Park Valley Dr, Round Rock, TX 78681-3592 | 2019-01-31 |
| 1164810925 | Hamilton County Hospital District | Skilled Nursing Facility | 4105 Teravista Club Dr, Round Rock, TX 78665-1525 | 2015-01-02 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
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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.