Provider Demographics
NPI:1295062008
Name:ROCKING HEART, INC.
Entity type:Organization
Organization Name:ROCKING HEART, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:B
Authorized Official - Last Name:MADSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-462-1300
Mailing Address - Street 1:7305 MORRO RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93422-4443
Mailing Address - Country:US
Mailing Address - Phone:805-462-1300
Mailing Address - Fax:805-462-1304
Practice Address - Street 1:7305 MORRO RD
Practice Address - Street 2:SUITE 201
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-4443
Practice Address - Country:US
Practice Address - Phone:805-462-1300
Practice Address - Fax:805-462-1304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-16
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care