Healthcare Provider Details

I. General information

NPI: 1093983827
Provider Name (Legal Business Name): ROCK CREEK NURSING CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2008
Last Update Date: 02/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 O ST NW
WASHINGTON DC
20037-1008
US

IV. Provider business mailing address

2131 O ST NW
WASHINGTON DC
20037-1008
US

V. Phone/Fax

Practice location:
  • Phone: 301-738-9400
  • Fax: 301-738-9400
Mailing address:
  • Phone: 301-738-9400
  • Fax: 301-738-7145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberHFD020001
License Number StateDC

VIII. Authorized Official

Name: MRS. KATHY ANGERER BARTON
Title or Position: CONTROLLER
Credential:
Phone: 301-738-9400