Organization Active NPI

RW SCC LLC

Doing business as Rockwall Nursing Care Center

  • Skilled Nursing Facility
  • Rockwall, TX
National Provider Identifier
1821233586
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RW SCC LLC
Doing business as
Rockwall Nursing Care Center
Practice address
206 Storrs St
Rockwall, TX 75087-4006
Phone
(972) 771-5000
Fax
(972) 771-1504
NPI assigned
Dec 10, 2008
Last updated
Sep 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Authorized official

Name
Jason Price
Title
Senior Vice President
Phone
(949) 436-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

206 Storrs St
Rockwall, TX 75087-4006

Mailing address

206 Storrs St
Rockwall, TX 75087-4006
Phone (972) 771-5000

Other identifiers 1

IdentifierTypeStateIssuer
001016945MedicaidTX

Other names 1

  • Rockwall Nursing Care 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": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1821233586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 STORRS ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874006",
            "telephone_number": "972-771-5000",
            "fax_number": "972-771-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 STORRS ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874006",
            "telephone_number": "972-771-5000",
            "fax_number": "972-771-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RW SCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "949-436-4343"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016945",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockwall Nursing Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rockwall Nursing Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.