Organization · Type 2 NPI

Rock Canyon Healthcare LLC

Skilled Nursing Facility · Pueblo, CO

NPI number 1194121988 Active

Practice location

2515 Pitman Pl
Pueblo, CO 81004-2633

Fax (719) 561-9760

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

12 other providers at this address

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NPI record

NPI: 1194121988
Entity type: Organization (Type 2)
Issued: Nov 6, 2014
Last updated: Aug 29, 2022
Status: Active

Other names

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Rock Canyon Respiratory and Rehabilitation Center · doing business as
Rock Canyon Respiratory and Rehabilitation Center · doing business as

Authorized official

Soon Burnam
Treasurer
(949) 540-1249

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194121988

Rock Canyon Healthcare LLC's National Provider Identifier is 1194121988, issued on Nov 6, 2014. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Pueblo, CO. The record was last updated on Aug 29, 2022.