ROCKDALE BLACKHAWK LLC NPI 1538610274

NPI Information

NPI: 1538610274
Provider Name: ROCKDALE BLACKHAWK, LLC

Doing Business As: LITTLE RIVER HEALTHCARE TRANSITIONS GERIATRICS GROUP

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2200 PARK BEND DR
BLDG 2-301
AUSTIN, TX
ZIP 78758
Phone: (512) 351-3919
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ROCKDALE BLACKHAWK, LLC is a general practice in Austin, TX. ROCKDALE BLACKHAWK, LLC NPI is 1538610274. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Little River Healthcare Transitions Geriatrics Group.

The provider's business location address is:

2200 PARK BEND DR
BLDG 2-301
AUSTIN, TX
ZIP 78758-387
Phone: (512) 351-3919

The provider's authorized official is Jeffrey P Madison .
The authorized official title is Ceo and has the following contact phone number (512) 446-4500.

The enumeration date for this NPI number is 10/18/2016 and was last updated on 10/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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