| Organization Name: | ROCKGATE SENIORS RESIDENCE |
| NPI Number: | 1912202821 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OLUTOYIN TITILAYO OWHE (ADMINISTRATOR) |
| Mailing Address: | 328 Cumberland St W Cowan |
| State: | TN US |
| Postal Code: | 373183112 |
| Phone Number: | 9319629777 |
| Fax Number: | 9319629911 |
| NPI Enumeration Date: | 01/24/2011 |
| NPI Last Update Date: | 02/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 310400000X |
| License Number: | 2140 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |