Provider Demographics
NPI:1518507680
Name:ROCK CREEK INVESTMENTS LLC
Entity Type:Organization
Organization Name:ROCK CREEK INVESTMENTS LLC
Other - Org Name:ROCK CREEK ASSISTED LIVING AT SOMERSET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:M
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-399-2146
Mailing Address - Street 1:930 W GOLF VIEW DR
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-9131
Mailing Address - Country:US
Mailing Address - Phone:541-399-2146
Mailing Address - Fax:888-371-2955
Practice Address - Street 1:1109 S RIFLE ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-4526
Practice Address - Country:US
Practice Address - Phone:720-535-1401
Practice Address - Fax:037-457-9973
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROCK CREEK INVESTMENTS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-07
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO60589787Medicaid
CO56121784Medicaid