NPIMap

Organization Active NPI

Rocky Creek Retiremnt Properties, Inc.

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1295836971
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
5227 Issued in FL
Legal business name
ROCKY CREEK RETIREMNT PROPERTIES, INC.
Practice address
8606 Boulder CT
Tampa, FL 33615-1414
Phone
(813) 884-3388
Fax
(813) 882-4228
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Mr. Jorge E Martinez
Title
Executive Director
Phone
(813) 884-3388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 5227 FL Primary

Addresses

Primary practice location

8606 Boulder CT
Tampa, FL 33615-1414

Mailing address

8606 Boulder CT
Tampa, FL 33615-1414
Phone (813) 884-3388

Other identifiers 2

IdentifierTypeStateIssuer
672990800OtherFLMEDWAIVER
140688400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Advantage Home Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1295836971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8606 BOULDER CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151414",
            "telephone_number": "813-884-3388",
            "fax_number": "813-882-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8606 BOULDER CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151414",
            "telephone_number": "813-884-3388",
            "fax_number": "813-882-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY CREEK RETIREMNT PROPERTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "813-884-3388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "5227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDWAIVER",
            "identifier": "672990800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140688400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.