NPIMap

Organization Active NPI

Rockdale Blackhhawk, LLC

  • Durable Medical Equipment & Medical Supplies
  • Waco, TX
National Provider Identifier
1144679028
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ROCKDALE BLACKHHAWK, LLC
Doing business as
Little River Healthcare - Cornerstone Medical
Practice address
6600 Fish Pond Rd
Suite 202a
Waco, TX 76710-2581
Phone
(254) 265-7300
NPI assigned
Jun 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Peggy Borgfeld
Title
Coo
Phone
(512) 446-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6600 Fish Pond Rd
Suite 202a
Waco, TX 76710-2581

Mailing address

PO Box 1010
Rockdale, TX 76567-1010
Phone (512) 446-4500

Other names 1

  • Little River Healthcare - Cornerstone Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rockdale Blackhawk LLC15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1144679028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1010",
            "city": "ROCKDALE",
            "state": "TX",
            "postal_code": "765671010",
            "telephone_number": "512-446-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FISH POND RD",
            "address_2": "SUITE 202A",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102581",
            "telephone_number": "254-265-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKDALE BLACKHHAWK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "BORGFELD",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "512-446-4500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little River Healthcare - Cornerstone Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.