Healthcare Provider Details

I. General information

NPI: 1124015334
Provider Name (Legal Business Name): J. ROPHE HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 03/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

704 TAYLOR ST
HUGHES SPRINGS TX
75656-2600
US

IV. Provider business mailing address

704 TAYLOR ST
HUGHES SPRINGS TX
75656-2600
US

V. Phone/Fax

Practice location:
  • Phone: 903-645-3915
  • Fax: 903-645-7250
Mailing address:
  • Phone: 903-645-3915
  • Fax: 903-645-7250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number112096
License Number StateTX

VIII. Authorized Official

Name: JAN W DELORME
Title or Position: PRESIDENT
Credential: RN
Phone: 903-645-3915