ROCKCREEK, INC.


Address: 120 Palmyra Dr, San Bernardino, CA 92404-1613
Phone: 7145373252

ROCKCREEK, INC. (NPI# 1033246301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA LTC60380F 05

Other Provider/Organization Names

Other Name Type Code
PALMYRA HOUSE Other Name - Individual/Organization

Other Provider IDs and Locations

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

Office Location

Street Address 120 PALMYRA DR
City SAN BERNARDINO
State CA
Zip Code 92404-1613

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(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).

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215545538 Vine Valley Homes II Intermediate Care Facility, Mentally Retarded 8400 Bellingham Ave, Sun Valley, CA 91352-3803 2020-07-22
1841811791 Young Walker Inc. Intermediate Care Facility, Mentally Retarded 14 Deer Ct, Sacramento, CA 95823-4402 2020-05-01
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
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Competitor

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City SAN BERNARDINO
Zip Code 92404

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Dataset Information

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.

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