Rock Haven Nursing Home, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

117889 Issued in TX

Legal business name

ROCK HAVEN NURSING HOME, INC.

Practice address

401 SE Stallings Dr
Nacogdoches, TX 75964-7204

Phone

(936) 569-9411

Fax

(936) 569-6511

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Cecil Wayne Hopson

Title

Ceo/Administrator

Phone

(936) 569-9411

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346353497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759647204",
            "fax_number": "936-569-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759647204",
            "telephone_number": "936-569-9411",
            "fax_number": "936-569-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK HAVEN NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOPSON",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "936-569-9411"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "117889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4953",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Ripley, M.S., CCC/SLP
• Jasmine Elise Roberson, PTA
• Robert R McMinn
• Kristin Nicole Robinson, APRN
• Lawrence Quinn Robinson, MD
• Johnpaul Rodrigues, PT, DPT
• Carolina Rodriguez-Vargas, LMSW
• Alejandro Rodriguez, MS, LAT, ATC
• Marti Leanne Rodriguez, MS, RD, LD
• Kenedy Etta Rogers

• Nursing Facility/Intermediate Care Facility in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Nursing Facility/Intermediate Care Facility 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.