Healthcare Provider Details

I. General information

NPI: 1245128941
Provider Name (Legal Business Name): ROCK COUNTY HOSPITAL LTC RESPITE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E SOUTH STREET
BASSETT NE
68714-5511
US

IV. Provider business mailing address

100 E SOUTH STREET
BASSETT NE
68714-5511
US

V. Phone/Fax

Practice location:
  • Phone: 402-684-2991
  • Fax: 402-684-3825
Mailing address:
  • Phone: 402-684-2991
  • Fax: 402-684-3825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: STACEY A KNOX
Title or Position: ADMINISTRATOR
Credential:
Phone: 402-684-3366