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NPI Code Detail

MEDICARE: ROCKLEDGE NH, LLC

MEDICARE: ROCKLEDGE NH, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BP3500XParenteral & Enteral Nutrition Supplies (DME)
2314000000XSkilled Nursing FacilitySNF15340961FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811992472
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROCKLEDGE NH, LLC
Provider Business Mailing Address
First Line : 587 BARTON BLVD
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-3145
Country : US
Telephone Number : 321-632-6300
Fax Number : 321-631-5428
Provider Business Practice Location Address
First Line : 587 BARTON BLVD
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-3145
Country : US
Telephone Number : 321-632-6300
Fax Number : 321-631-5428
Authorized Official
Title or Position : CEO
Name : MOSHE SCHEINER
Credential :
Telephone Number : 813-557-6200
Provider Enumeration Date : 06/20/2005
Last Update Date : 06/03/2024

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