Provider Demographics
NPI:1912082231
Name:ROMEO CONTINUING CARE INC
Entity Type:Organization
Organization Name:ROMEO CONTINUING CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHOCKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-752-2581
Mailing Address - Street 1:309 S BAILEY ST BOX 306
Mailing Address - Street 2:
Mailing Address - City:ROMEO
Mailing Address - State:MI
Mailing Address - Zip Code:48065-5207
Mailing Address - Country:US
Mailing Address - Phone:586-752-2878
Mailing Address - Fax:586-336-9066
Practice Address - Street 1:309 S BAILEY
Practice Address - Street 2:
Practice Address - City:ROMEO
Practice Address - State:MI
Practice Address - Zip Code:48065-5207
Practice Address - Country:US
Practice Address - Phone:586-752-2878
Practice Address - Fax:586-336-9066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI504140313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1602610Medicaid