Provider Demographics
NPI:1437154648
Name:THE COMMUNITY AT ROCKHILL
Entity Type:Organization
Organization Name:THE COMMUNITY AT ROCKHILL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:J
Authorized Official - Last Name:GULOTTI
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:267-203-1144
Mailing Address - Street 1:3250 STATE RD
Mailing Address - Street 2:
Mailing Address - City:SELLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18960-1624
Mailing Address - Country:US
Mailing Address - Phone:215-257-2751
Mailing Address - Fax:215-257-7390
Practice Address - Street 1:3250 STATE RD
Practice Address - Street 2:
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960-1624
Practice Address - Country:US
Practice Address - Phone:215-257-2751
Practice Address - Fax:215-257-7390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-15
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA182802314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA501410OtherAETNA
PA7101142OtherUNITED HEALTHCARE
PA1000036400003Medicaid
PA7101142OtherEVERCARE
PA00060850000OtherINDEPENDENCE BLUE CROSS
PA1000036400003Medicaid