Organization Active NPI

Rockdale SNF LLC

  • Skilled Nursing Facility
  • Rockdale, TX
National Provider Identifier
1912372459
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ROCKDALE SNF LLC
Practice address
1350 W US Highway 79
Rockdale, TX 76567
Phone
(512) 446-2548
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Laurie Kunka
Title
Member
Phone
(254) 399-6788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1350 W US Highway 79
Rockdale, TX 76567

Mailing address

6500 Horizon Cir
Waco, TX 76712-6985
Phone (254) 399-6788

Other names 1

  • Rockdale Estates and Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

700 Dyer St
Rockdale, TX 76567
Phone (512) 446-2548

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1912372459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 HORIZON CIR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126985",
            "telephone_number": "254-399-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W US HIGHWAY 79",
            "city": "ROCKDALE",
            "state": "TX",
            "postal_code": "76567",
            "telephone_number": "512-446-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKDALE SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "KUNKA",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "254-399-6788"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockdale Estates and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rockdale Estates and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockdale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.