Provider Demographics
NPI:1922437508
Name:ROCKINGHAM HEALTHCARE, INC
Entity Type:Organization
Organization Name:ROCKINGHAM HEALTHCARE, INC
Other - Org Name:THE HERMITAGE RETIREMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEANDRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-479-7919
Mailing Address - Street 1:612 HEALTH DR
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-2540
Mailing Address - Country:US
Mailing Address - Phone:910-875-4551
Mailing Address - Fax:910-875-7919
Practice Address - Street 1:139 MALLARD LN
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-5203
Practice Address - Country:US
Practice Address - Phone:910-895-0750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-077-011311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home