Organization Active NPI

RC Operators, LLC (D.B.a. Willow Terrace)

  • Skilled Nursing Facility
  • Philadelphia, PA
National Provider Identifier
1063742708
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RC OPERATORS, LLC (D.B.A. WILLOW TERRACE)
Practice address
One Penn Boulevard
Penn Tower
Philadelphia, PA 19144-4206
Phone
(215) 951-8656
Fax
(215) 849-1946
NPI assigned
Dec 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Mr. Alex Ringkamp, R.N, LNHA
Title
Administrator
Phone
(215) 951-8656

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 072102 PA
Skilled Nursing Facility 314000000X PA Primary

Addresses

Primary practice location

One Penn Boulevard
Penn Tower
Philadelphia, PA 19144-4206

Mailing address

505 Marlboro Road
Wood-Ridge, NJ 07075
Phone (201) 635-1195

Other identifiers 1

IdentifierTypeStateIssuer
1024679250001MedicaidPA

Other names 1

  • Willow Terrace Nsg Center Doing business as

National Provider Directory

National Provider Directory

Locations

1 Penn Blvd
Ste 232
Philadelphia, PA 19144

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1063742708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MARLBORO ROAD",
            "city": "WOOD-RIDGE",
            "state": "NJ",
            "postal_code": "07075",
            "telephone_number": "201-635-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE PENN BOULEVARD",
            "address_2": "PENN TOWER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444206",
            "telephone_number": "215-951-8656",
            "fax_number": "215-849-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RC OPERATORS, LLC (D.B.A. WILLOW TERRACE)",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "RINGKAMP",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-951-8656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N, LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "072102",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024679250001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Terrace Nsg Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.