Organization Active NPI

Rockwall Rehab Hospitals, LTD

  • Skilled Nursing Facility
  • Plano, TX
National Provider Identifier
1710120662
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ROCKWALL REHAB HOSPITALS, LTD
Practice address
2301 Marsh LN
Plano, TX 75093-8497
Phone
(972) 479-1380
Fax
(972) 479-1381
NPI assigned
Apr 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Authorized official

Name
Jacqueline Grandeau
Title
VP Revenue Cycle Operations
Phone
(972) 479-1380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2301 Marsh LN
Plano, TX 75093-8497

Mailing address

2301 Marsh LN
Plano, TX 75093-8497
Phone (972) 479-1380

Other identifiers 1

IdentifierTypeStateIssuer
676159OtherTXMEDICARE PROVIDER NUMBER

Other names 1

  • Bella Vista Former legal business name

National Provider Directory

National Provider Directory

Locations

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

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": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1710120662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 MARSH LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938497",
            "telephone_number": "972-479-1380",
            "fax_number": "972-479-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 MARSH LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938497",
            "telephone_number": "972-479-1380",
            "fax_number": "972-479-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL REHAB HOSPITALS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "GRANDEAU",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "VP REVENUE CYCLE OPERATIONS",
        "authorized_official_telephone_number": "972-479-1380"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "676159",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Vista",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.