# ROCKCASTLE HEALTH AND REHABILITATION CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588637342
- **Authorized official:** MR. CHARLES BLACK (CFO)
- **Authorized official phone:** (606) 256-2195

## Contact information

- **Practice address:** 371 WEST MAIN STREET, BRODHEAD, KY 40409-9701
- **Practice address phone:** (606) 758-8711
- **Mailing address:** 371 WEST MAIN STREET, BRODHEAD, KY 40409-9701
- **Mailing address phone:** (606) 758-8711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100375 | KY | Yes |

## Other

- **Enumeration date:** 02/10/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000054638 | BLUE CROSS BLUE SHIELD | KY |
| 01 | — | 0641200001 | DME | KY |
| 05 | — | 12501037 | — | KY |