NPIMap

Organization Active NPI

New Rockford Manor, LLC

  • Skilled Nursing Facility
  • Louisville, KY
National Provider Identifier
1720077555
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100453 Issued in KY
Legal business name
NEW ROCKFORD MANOR, LLC
Practice address
4700 Quinn Dr
Louisville, KY 40216-2943
Phone
(502) 448-5850
Fax
(502) 448-9563
NPI assigned
Oct 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Ms. Lisa Gann
Title
Administrator
Phone
(502) 448-5850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100453 KY Primary

Addresses

Primary practice location

4700 Quinn Dr
Louisville, KY 40216-2943

Mailing address

4700 Quinn Dr
Louisville, KY 40216-2943
Phone (502) 448-5850

Other names 1

  • Rockford Health & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1720077555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 QUINN DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402162943",
            "telephone_number": "502-448-5850",
            "fax_number": "502-448-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 QUINN DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402162943",
            "telephone_number": "502-448-5850",
            "fax_number": "502-448-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ROCKFORD MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "GANN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "502-448-5850",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockford Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.