Provider Demographics
NPI:1306519798
Name:THE ROCK HOME HEATHCARE
Entity type:Organization
Organization Name:THE ROCK HOME HEATHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MISS
Authorized Official - First Name:NANA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROCKSON
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:860-796-0105
Mailing Address - Street 1:55 SEDGWICK RD
Mailing Address - Street 2:
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06108-1036
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:55 SEDGWICK RD
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-1036
Practice Address - Country:US
Practice Address - Phone:177-425-3396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health