# INTREPID OF THE ROLLING HILLS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Intrepid USA Healthcare Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619387982
- **Authorized official:** ROBERT PARKER (CCO)
- **Authorized official phone:** (214) 445-3750

## Contact information

- **Practice address:** 201 SUFFOLK AVE FL 2, RICHLANDS, VA 24641-2436
- **Practice address phone:** (276) 596-9233
- **Practice address fax:** (276) 596-9643
- **Mailing address:** 14841 DALLAS PKWY STE 625, DALLAS, TX 75254-7641
- **Mailing address phone:** (214) 445-3750
- **Mailing address fax:** (214) 445-3900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/07/2014
- **Last updated:** 11/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 49Q7456002 | MEDICARE BRANCH ID | VA |