NPIMap

Organization Active NPI

Rock Care Assisted Living

  • In Home Supportive Care Agency
  • Jackson, MO
National Provider Identifier
1619367661
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ROCK CARE ASSISTED LIVING
Practice address
2370 N High St
Suite Number 5
Jackson, MO 63755-8365
Phone
(573) 204-7620
Fax
(573) 204-0222
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Thomas D WhiteNPI 1639569742
Title
Ceo
Phone
(573) 204-7620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

2370 N High St
Suite Number 5
Jackson, MO 63755-8365

Mailing address

2370 N High St
Suite Number 5
Jackson, MO 63755-8365
Phone (573) 204-7620

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1619367661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 N HIGH ST",
            "address_2": "SUITE NUMBER 5",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637558365",
            "telephone_number": "573-204-7620",
            "fax_number": "573-204-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 N HIGH ST",
            "address_2": "SUITE NUMBER 5",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637558365",
            "telephone_number": "573-204-7620",
            "fax_number": "573-204-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK CARE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-204-7620"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.