Active NPI
Rock Care Direct, LLC
- Home Health Agency
- Jackson, MO
National Provider Identifier
1881035970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- LC1302740
- Legal business name
- ROCK CARE DIRECT, LLC
- Practice address
- 204 S Union Ave
Jackson, MO 63755-1949 - Phone
- (573) 204-7620
- NPI assigned
- Jul 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas D. White
- Title
- Ceo
- Phone
- (573) 204-7620
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | LC1302740 | MO | Primary |
Addresses
Primary practice location
204 S Union Ave
Jackson, MO 63755-1949
Mailing address
204 S Union Ave
Jackson, MO 63755-1949
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374019200000",
"number": "1881035970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 S UNION AVE",
"city": "JACKSON",
"state": "MO",
"postal_code": "637551949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 S UNION AVE",
"city": "JACKSON",
"state": "MO",
"postal_code": "637551949",
"telephone_number": "573-204-7620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCK CARE DIRECT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-17",
"last_updated": "2013-07-17",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "573-204-7620",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": "LC1302740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.