Rocky Bay Health Care Facility

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

NH822 Issued in WA

Legal business name

ROCKY BAY HEALTH CARE FACILITY

Practice address

17526 State Route 302 KP N
Gig Harbor, WA 98329-5672

Phone

(253) 884-2277

Fax

(253) 884-3328

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Edith M Moore, RN ADMINISTRATOR

Title

Owner Administrator

Phone

(253) 884-2277

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346459138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17526 STATE ROUTE 302 KP N",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983295672",
            "telephone_number": "253-884-2277",
            "fax_number": "253-884-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17526 STATE ROUTE 302 KP N",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983295672",
            "telephone_number": "253-884-2277",
            "fax_number": "253-884-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY BAY HEALTH CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "253-884-2277",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "WA",
            "license": "NH822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4782207",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerri L Robbins, MD
• Robert W. Kunkle MD, Inc PS
• Lorilie Robison, LMFT
• Carol M Rocha
• Denise Joanne Rochman, RRT
• Alyssa Rodrigo, CBT
• Roger D. Johnson, DDS,PC
• Katy Alexis Rogers
• Remy Choi Rogers, DDS
• Shelby Rogers, LMFT

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Washington

• 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.