NPIMap

Organization Active NPI

Rock Creek Rehabilitation and Healthcare Center LLC

Doing business as Rock Creek Rehabilitation and Healthcare Center

  • Respite Care
  • Monte Vista, CO
National Provider Identifier
1053136697
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
ROCK CREEK REHABILITATION AND HEALTHCARE CENTER LLC
Doing business as
Rock Creek Rehabilitation and Healthcare Center
Practice address
2277 East Dr
Monte Vista, CO 81144-9330
Phone
(719) 852-5138
NPI assigned
Nov 19, 2024
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alicia Deacon
Title
Administrator
Phone
(719) 852-5138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

2277 East Dr
Monte Vista, CO 81144-9330

Mailing address

2277 East Dr
Monte Vista, CO 81144-9330

Other names 1

  • Rock Creek Rehabilitation and Healthcare Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rock Creek Rehabilitation and Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1053136697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 EAST DR",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811449330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 EAST DR",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811449330",
            "telephone_number": "719-852-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK CREEK REHABILITATION AND HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "DEACON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-852-5138"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Creek Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monte Vista, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.