Active NPI
RC Operators, LLC (D.B.a. Willow Terrace)
- Skilled Nursing Facility
- Philadelphia, PA
National Provider Identifier
1063742708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024679250001 | Medicaid | PA |
Other names 1
- Willow Terrace Nsg Center
National Provider Directory
National Provider DirectoryLocations
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.