The Rock Home Visiting Provider LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

THE ROCK HOME VISITING PROVIDER LLC

Practice address

3512 Cooke LN
Melissa, TX 75454-1801

Phone

(773) 681-1505

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Girmachew Haile, NPNPI 1043873516

Title

Ceo

Phone

(773) 681-1505

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Girmachew Haile

  • Primary Care Nurse Practitioner
  • Dallas, TX
  • NPI 1043873516
  NPD (past) Authorized official

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1861116808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 COOKE LN",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754541801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 COOKE LN",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754541801",
            "telephone_number": "773-681-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROCK HOME VISITING PROVIDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "HAILE",
        "authorized_official_first_name": "GIRMACHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-681-1505",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Taylor
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• Tooth Amigos
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• Tso Melissa LLC
• Brittany Tucker, LMFT
• TX Newlife Home Health Care LLC

• Primary Care Clinic/Center in Melissa, TX
• Providers in Melissa, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.