Provider Demographics
NPI:1629707781
Name:THE ROCK HOME CARE INC
Entity Type:Organization
Organization Name:THE ROCK HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HALIMATTU
Authorized Official - Middle Name:MARIAM
Authorized Official - Last Name:FODAY-KAKPA
Authorized Official - Suffix:
Authorized Official - Credentials:THE ROCK HOME CARE
Authorized Official - Phone:347-879-1195
Mailing Address - Street 1:979 BAY STREET STATEN ISLAND NEW YORK, 10305
Mailing Address - Street 2:SUITE #4
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-4903
Mailing Address - Country:US
Mailing Address - Phone:917-830-0201
Mailing Address - Fax:917-830-0201
Practice Address - Street 1:979 BAY STREET RM #4, STATEN ISLAND NEW YORK, 10305
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-4903
Practice Address - Country:US
Practice Address - Phone:917-830-0201
Practice Address - Fax:917-830-0201
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE ROCK HOME CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health