Red Rock Wellness Care Center, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

RED ROCK WELLNESS CARE CENTER, LLC

Practice address

13951 W Meeker Blvd
Room 1
Sun City West, AZ 85375-4424

Phone

(602) 833-8452

Fax

(480) 718-8839

NPI assigned

May 5, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Edward Rousseau

Title

Chief Administrative Officer

Phone

(772) 266-7682

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1770939092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29650",
            "address_2": "DEPT# 880122",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13951 W MEEKER BLVD",
            "address_2": "ROOM 1",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754424",
            "telephone_number": "602-833-8452",
            "fax_number": "480-718-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK WELLNESS CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "ROUSSEAU",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "772-266-7682",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry M. Ranta, D.P.M.
• Chenthilmurugan Rathnasabapathy, MBBS
• Kalpa Mayur Rathod, M.D.
• Jamil Razzaq, DO
• Red Poppy Healing
• Red Sea Infectious Diseases, LLC
• Denise H Reddy, MD
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• Tom F Reese, DDS
• Ana Rebeca Paco de Matos Rego

• Multi-Specialty Clinic/Center in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.