Provider Demographics
NPI:1831419381
Name:ROCK HEALTHCARE, INC
Entity type:Organization
Organization Name:ROCK HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:CHINEDUM
Authorized Official - Last Name:UGBOMOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-677-6171
Mailing Address - Street 1:1264 CARRIAGE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-3898
Mailing Address - Country:US
Mailing Address - Phone:469-297-4267
Mailing Address - Fax:469-297-4306
Practice Address - Street 1:1264 CARRIAGE CREEK DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-3898
Practice Address - Country:US
Practice Address - Phone:469-297-4267
Practice Address - Fax:469-297-4306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health