Rock of Ages, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R2255 Issued in MD

Legal business name

ROCK OF AGES, INC

Doing business as

Rock of Ages Health Care

Practice address

812 Johnson Ave
Silver Spring, MD 20904-4870

Phone

(877) 699-0762

Fax

(301) 830-6776

NPI assigned

May 28, 2006

Last updated

Dec 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Akeem Oluwasegun Akinbo

Title

President/Ceo

Phone

(301) 674-1858

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rock of Ages Health Care Doing business as

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1467409060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10057",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209140057",
            "telephone_number": "877-699-0762",
            "fax_number": "301-830-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 JOHNSON AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044870",
            "telephone_number": "877-699-0762",
            "fax_number": "301-830-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK OF AGES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "AKINBO",
        "authorized_official_first_name": "AKEEM",
        "authorized_official_middle_name": "OLUWASEGUN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "301-674-1858"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409589800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock of Ages Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.