Provider Demographics
NPI:1154403251
Name:ROCK OF AGES HOME HEALTH CARE INC
Entity type:Organization
Organization Name:ROCK OF AGES HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BABU
Authorized Official - Middle Name:P
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-840-2222
Mailing Address - Street 1:2245 VALWOOD PKWY STE 104
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-3407
Mailing Address - Country:US
Mailing Address - Phone:972-840-2222
Mailing Address - Fax:972-746-2225
Practice Address - Street 1:2245 VALWOOD PKWY STE 104
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-3407
Practice Address - Country:US
Practice Address - Phone:972-840-2222
Practice Address - Fax:972-746-2225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX459468Medicare Oscar/Certification
459468Medicare Oscar/Certification
TX1982702296Medicare ID - Type Unspecified