Provider Demographics
NPI:1609410380
Name:CENTER AT ROCK CREEK, LLC
Entity Type:Organization
Organization Name:CENTER AT ROCK CREEK, LLC
Other - Org Name:THE CENTER AT ROCK CREEK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MURDOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-900-1398
Mailing Address - Street 1:4880 ZIEGLER RD
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-9007
Mailing Address - Country:US
Mailing Address - Phone:970-223-4376
Mailing Address - Fax:970-223-1784
Practice Address - Street 1:4880 ZIEGLER RD
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-9007
Practice Address - Country:US
Practice Address - Phone:970-223-4376
Practice Address - Fax:970-223-1784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-05
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility