Red Rock Care and Rehab, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI-346 Issued in AZ

Legal business name

RED ROCK CARE AND REHAB, INC

Practice address

197 S Willard St
Cottonwood, AZ 86326-4123

Phone

(928) 634-5548

Fax

(928) 634-9602

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Mr. William Scott Thomas

Title

Systems Administrator

Phone

(801) 296-5106

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1457590614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 S WILLARD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264123",
            "telephone_number": "928-634-5548",
            "fax_number": "928-634-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 S WILLARD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264123",
            "telephone_number": "928-634-5548",
            "fax_number": "928-634-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK CARE AND REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "SYSTEMS ADMINISTRATOR",
        "authorized_official_telephone_number": "801-296-5106",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI-346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "707424",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Srirangarajan Raju, MD
• Yolanda Raquel Ramos-Edgerly, M.S.
• Deborah Kaye Randall, R.N.
• Monica Kendall Rauton, NP
• CT Reatherford
• Red Rock Family Services LLC
• Red Rock Pediatrics
• Debra Lynn Reed, RN
• Dennis J Reed, M.D.
• Kim Marie Reed, RD, IBCLC

• Skilled Nursing Facility in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.