Organization Active NPI

Rockford Healthcare Group, Inc.

  • Skilled Nursing Facility
  • Rockford, OH
National Provider Identifier
1134421456
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2330N Issued in OH
Legal business name
ROCKFORD HEALTHCARE GROUP, INC.
Practice address
201 Buckeye St
Rockford, OH 45882-9266
Phone
(419) 363-2193
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
William I Weisberg
Title
Vice President
Phone
(216) 292-5706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2330N OH Primary

Addresses

Primary practice location

201 Buckeye St
Rockford, OH 45882-9266

Mailing address

26691 Richmond Rd
Bedford Heights, OH 44146-1421
Phone (216) 292-5706

Other identifiers 1

IdentifierTypeStateIssuer
3126030MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Colonial Nursing Center of Rockford2 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": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1134421456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26691 RICHMOND RD",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441461421",
            "telephone_number": "216-292-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BUCKEYE ST",
            "city": "ROCKFORD",
            "state": "OH",
            "postal_code": "458829266",
            "telephone_number": "419-363-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD HEALTHCARE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "216-292-5706"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2330N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3126030",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.