Rock Fish Group Home

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

4563-3GA Issued in FL

Legal business name

ROCK FISH GROUP HOME

Practice address

4808 Rock Fish CT
Tampa, FL 33617-6411

Phone

(813) 569-5905

NPI assigned

Sep 10, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Melanie F N'Dambani

Title

Direct Care

Phone

(813) 569-5905

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1477860443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 ROCK FISH CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336176411",
            "telephone_number": "813-569-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 ROCK FISH CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336176411",
            "telephone_number": "813-569-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK FISH GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "N'DAMBANI",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECT CARE",
        "authorized_official_telephone_number": "813-569-5905",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "FL",
            "license": "4563-3GA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aitor Javier Roche Perez, SA-C
• Katie Roche, RD
• Yesenia Adriana Roche, BA
• Stephen Rochon
• Ehitare Rociu, MD, MS
• Kendall Michelle Rockler, M.D.
• Thomas Lynn Rockwell, DDS
• Rocky Creek Retirement Properties, Inc. (Advantage Home Care)
• Rocky Creek Retirement Properties, Inc. (Advantage Rehabilatation Services)
• Rocky Creek Retiremnt Properties, Inc.

• Foster Care Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Foster Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.