NPIMap

Organization Active NPI

Rocky Creek Retirement Properties, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Tampa, FL
National Provider Identifier
1366524613
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
OPT686663 Issued in FL
Legal business name
ROCKY CREEK RETIREMENT PROPERTIES, INC.
Practice address
8606 Boulder CT
Tampa, FL 33615-1414
Phone
(813) 884-3388
Fax
(813) 882-4228
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Tom Wingo
Title
Cfo
Phone
(813) 884-3388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X OPT686663 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 names 1

  • ADVANTAGE REHABILATATION SERVICES Doing business as

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.

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366524613",
    "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 RETIREMENT PROPERTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINGO",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-884-3388",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": "OPT686663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANTAGE REHABILATATION SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.