Rockville Nursing Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

15-019 Issued in MD

Legal business name

ROCKVILLE NURSING HOME, INC.

Practice address

303 Adclare Rd
Rockville, MD 20850-3825

Phone

(301) 279-9000

Fax

(301) 762-6881

NPI assigned

Sep 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Vincent P. McCubbin, LNHA

Title

Administrator

Phone

(301) 279-9000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1932194610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 ADCLARE RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503825",
            "telephone_number": "301-279-9000",
            "fax_number": "301-762-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ADCLARE RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503825",
            "telephone_number": "301-279-9000",
            "fax_number": "301-762-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKVILLE NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "MCCUBBIN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-279-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "15-019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155997400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.