ROCKY BAY HEALTH CARE FACILITY (NPI# 1346459138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346459138 |
| Entity Type | Organization |
| Organization Name | ROCKY BAY HEALTH CARE FACILITY |
| Practice Address |
17526 State Route 302 Kp N Gig Harbor WA 98329-5672 |
| Practice Telephone | 2538842277 |
| Practice Fax Number | 2538843328 |
| Mailing Telephone | 2538842277 |
| Mailing Fax Number | 2538843328 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. EDITH M MOORE (OWNER ADMINISTRATOR) |
| Authorized Official Telephone | 2538842277 |
| Authorized Official Credential | RN ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | NH822 | WA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 4782207 | 05 |
| Street Address |
17526 STATE ROUTE 302 KP N |
| City | GIG HARBOR |
| State | WA |
| Zip Code | 98329-5672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790077337 | Robin Renne Mcneil | Massage Therapist | 10012 137th St Nw, Gig Harbor, WA 98329 | 2011-05-13 |
| 1871753251 | Ian D Chittle | Counselor | 10124 Creviston Dr Nw, Gig Harbor, WA 98329 | 2008-06-10 |
| 1003081977 | Michele Ann Waugh | Pharmacist | Costless Senior Services, 14216 92nd Ave Nw, Gig Harbor, WA 98329 | 2008-04-23 |
| 1003099011 | Harbor Healing Arts Pllc | Clinic/Center | 13214 150th Street Kp N, Gig Harbor, WA 98329-4668 | 2007-12-12 |
| 1023315363 | Jan Marie Hurnblad Sparks | Massage Therapist | 14526 Holiday Drive Kp N, Gig Harbor, WA 98329-5125 | 2011-02-23 |
| 1730362849 | C4thpower/calkins & Conner's Creative Connections | Durable Medical Equipment & Medical Supplies | 14719 Holiday Drive Kp N, Gig Harbor, WA 98329-5128 | 2007-12-12 |
| 1366897092 | Reiki Counseling Services, Pllc | Social Worker | 13201 130th Street Kp N, Gig Harbor, WA 98329-5141 | 2016-05-02 |
| 1487876876 | Julianna Nicole Solandros | Massage Therapist | 12907 132nd Avenue Kp N, Gig Harbor, WA 98329-5153 | 2007-05-03 |
| 1659519775 | Hans Albert Quistorff | Specialist | 13414 138th Avenue Kp N, Gig Harbor, WA 98329-5303 | 2009-01-27 |
| 1710216601 | Bethany Joy Tilzey | Doula | 12222 196th Ave Kp N, Gig Harbor, WA 98329-5346 | 2009-12-24 |
| Find all providers in zip 98329 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537768 | Sea - Mar Community Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1040 S Henderson St Fl 3, Seattle, WA 98108-4720 | 2020-08-07 |
| 1205330164 | Valley Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 240 Bush St, Walla Walla, WA 99362-2618 | 2018-03-23 |
| 1730315961 | Ambitions of Washington, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 511 N Argonne Rd Ste 200, Spokane Valley, WA 99212-2878 | 2009-06-02 |
| 1326288762 | Healing Heart Home Health Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1756 106th St S # B-101, Parkland, WA 98444-8827 | 2009-02-25 |
| City | GIG HARBOR |
| Zip Code | 98329 |
Please comment or provide details below to improve the information on ROCKY BAY HEALTH CARE FACILITY.
| 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.