RK4, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RK4, LLC

Practice address

19091 N Dale Mabry Hwy
Lutz, FL 33548-4982

Phone

(813) 751-0557

NPI assigned

Dec 15, 2017

Organization subpart

No

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

Authorized official

Name

Kevin Ryan Rockefeller

Title

Cfo

Phone

(727) 581-4648

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1669988424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20001 GULF BVLD.",
            "address_2": "SUITE 11",
            "city": "INDIAN SHORES",
            "state": "FL",
            "postal_code": "33774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19091 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484982",
            "telephone_number": "813-751-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RK4, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "ROCKEFELLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-581-4648"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Rivera
• Tatyana Rivera
• Gabriela Rivero Camargo
• Tahir Hussain Rizvi, MD
• Cory Robert Rizzardi, DO
• John B Roach Jr., D.O.
• Kayla-Marie Robbins
• Adrianne Roberts, ARNP
• Kristina E. Roberts, ARNP
• Holly Lynn Robinson

• Skilled Nursing Facility in Lutz, FL
• Providers in Lutz, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.