Ronald McDonald House Charities of the Southwest Inc

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

RONALD MCDONALD HOUSE CHARITIES OF THE SOUTHWEST INC

Practice address

1212 Indiana Ave
Lubbock, TX 79415-3366

Phone

(806) 744-8877

Fax

(806) 744-3652

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Susan S Maxwell, CFRE

Title

Executive Director

Phone

(806) 744-8877

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235278144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794153366",
            "telephone_number": "806-744-8877",
            "fax_number": "806-744-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794153366",
            "telephone_number": "806-744-8877",
            "fax_number": "806-744-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD MCDONALD HOUSE CHARITIES OF THE SOUTHWEST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "806-744-8877",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CFRE"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000K1055",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHARTER ID STATE OF TEXAS",
            "identifier": "0065931401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunny Joel Rokkam, M.D.
• Joyce-Abigail Salvador Rolloque, PHARM.D.
• Edgar Uriel Romero Castillo, MD
• Rhonda Lynn Romero, FNP-C
• Samantha Faith Romero, PTA
• Braedon Derek Roney, DPT
• Ronnelle S Burley MD PA
• Roosevelt Independent School District
• Rosa of the South Plains, LLP
• Abygail Rose Rosales, COTA

• Lodging Provider in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Lodging Provider in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.