Rocky Ford Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1039 Issued in CO

Legal business name

ROCKY FORD HEALTHCARE LLC

Practice address

900 S 12TH St
Rocky Ford, CO 81067-2128

Phone

(719) 254-3314

NPI assigned

Jan 29, 2007

Organization subpart

Yes

Parent organization

GRACE HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Ms. Alice Marie Clark Danks, CPA

Title

VP of Finance

Phone

(423) 308-1866

Specialties & licenses 1

Addresses

Other names 1

• PIONEER HEALTH CARE CENTER Doing business as

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1194861344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S 12TH ST",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "810672128",
            "telephone_number": "719-254-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S 12TH ST",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "810672128",
            "telephone_number": "719-254-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY FORD HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRACE HEALTHCARE",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "CLARK DANKS",
        "authorized_official_first_name": "ALICE MARIE",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "423-308-1866",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "1039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIONEER HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pioneer Health Care Group, Inc.
• Pioneer Healthcare Group, Inc.
• Radiant Healthcare LLC
• John Manuel Rocha Jr., RN
• Rocky Ford Family Health Center LLC
• Rural Health Revenue Associates LLC
• James Satt, MD
• Southeast Mental Health Services
• Southeast Mental Health Services
• Southeast Mental Health Services

• All providers in Rocky Ford, CO
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.