ROCKCREEK, INC. (NPI# 1033246301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033246301 |
Entity Type | Organization |
Organization Name | ROCKCREEK, INC. |
Other Organization Name | PALMYRA HOUSE |
Practice Address |
120 Palmyra Dr San Bernardino CA 92404-1613 |
Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
Practice Telephone | 7145373252 |
Mailing Telephone | 8008660860 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2008-07-11 |
Authorized Official Name | MS. DEENA OMBRES (PRIVACY OFFICER) |
Authorized Official Telephone | 5023942387 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | LTC60380F | 05 |
Other Name | Type Code |
---|---|
PALMYRA HOUSE | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104953470 | Rockcreek, Inc. | Intermediate Care Facility, Mentally Retarded | 2765 28th St, Highland, CA 92346-1734 | 2007-02-27 |
1811024185 | Rockcreek, Inc. | Intermediate Care Facility, Mentally Retarded | 7312 Teak Way, Rancho Cucamonga, CA 91730-1529 | 2007-02-27 |
1942337217 | Rockcreek, Inc. | Intermediate Care Facility, Mentally Retarded | 2312 E 17th St, San Bernardino, CA 92404-6102 | 2007-02-27 |
1487781753 | Rockcreek, Inc. | Intermediate Care Facility, Mentally Retarded | 1574 Lillian Ln, Highland, CA 92346-3001 | 2007-02-27 |
1093842361 | Rockcreek, Inc. | Intermediate Care Facility, Mentally Retarded | 27590 Villa Ave, Highland, CA 92346-3286 | 2007-02-27 |
1295862563 | Rockcreek, Inc. | Intermediate Care Facility, Mentally Retarded | 6083 Newcomb St, San Bernardino, CA 92404-3537 | 2007-02-27 |
1841327285 | Rockcreek, Inc. | Intermediate Care Facility, Mentally Retarded | 9939 La Vine St, Alta Loma, CA 91701-5909 | 2007-02-27 |
1215064589 | Rockcreek, Inc. | Intermediate Care Facility, Mentally Retarded | 305 Armstrong Dr, Claremont, CA 91711-1745 | 2007-02-27 |
1548396971 | Rockcreek, Inc. | Intermediate Care Facility, Mentally Retarded | 9429 Calle Vejar, Rancho Cucamonga, CA 91730-4005 | 2007-02-27 |
1508993874 | Rockcreek, Inc. | Intermediate Care Facility, Mentally Retarded | 26219 Edgemont Dr, Highland, CA 92346-1652 | 2007-02-27 |
Street Address |
120 PALMYRA DR |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92404-1613 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
Find all providers in zip 92404 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942337217 | Rockcreek, Inc. | Intermediate Care Facility, Mentally Retarded | 2312 E 17th St, San Bernardino, CA 92404-6102 | 2007-02-27 |
1295862563 | Rockcreek, Inc. | Intermediate Care Facility, Mentally Retarded | 6083 Newcomb St, San Bernardino, CA 92404-3537 | 2007-02-27 |
1316073125 | Rockcreek, Inc. | Intermediate Care Facility, Mentally Retarded | 5724 Palomar Ave, San Bernardino, CA 92404-3037 | 2007-02-26 |
1225187289 | Horrigan Enterprises, Inc., Robinson House | Intermediate Care Facility, Mentally Retarded | 25787 Mesa Ct, San Bernardino, CA 92404-3074 | 2007-01-09 |
1700935772 | Horrigan Enterprises, Inc., Lapaix House | Intermediate Care Facility, Mentally Retarded | 2107 E Jane St, San Bernardino, CA 92404-6125 | 2007-01-09 |
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1003441155 | Sunrise Premier Homes LLC | Intermediate Care Facility, Mentally Retarded | 13831 Ruther Ave, Paramount, CA 90723-2662 | 2020-03-10 |
1649805912 | Jingma Inc | Intermediate Care Facility, Mentally Retarded | 34909 Osprey Dr, Union City, CA 94587-4618 | 2020-03-07 |
1124661699 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 581 S Gilmar St, Anaheim, CA 92802-1306 | 2019-10-28 |
1467095935 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 1592 W Lorane Way, Anaheim, CA 92802-3930 | 2019-10-28 |
1992348460 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 5940 Los Angeles Way, Buena Park, CA 90620-2723 | 2019-10-28 |
1578106043 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2918 E Greenhedge Ave, Anaheim, CA 92806-3804 | 2019-10-28 |
1790328680 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2143 W Fir Ave, Anaheim, CA 92801-3436 | 2019-10-23 |
1356984249 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 6540 Christine Cir, Buena Park, CA 90620-4511 | 2019-10-23 |
Find all providers with the same taxonomy |
City | SAN BERNARDINO |
Zip Code | 92404 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.