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LITTLE RIVER HEALTHCARE SPECIALITY CLINIC
NPI 1073924932
Prosthetic/Orthotic Supplier in Georgetown, TX

Active since May 14, 2014
1512 LEANDER RD, GEORGETOWN, TX 78628(512) 948-7611 Get Directions Write a Review

NPPES record last updated: May 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Little River Healthcare Speciality Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LITTLE RIVER HEALTHCARE SPECIALITY CLINIC (NPI 1073924932) is a healthcare organization registered as a prosthetic/orthotic supplier in Georgetown, Texas and active in the NPI registry since May 2014. The organization lists Jeffrey P Madison, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073924932
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameROCKDALE BLACKHAWK LLC
Location Address1512 LEANDER RDGeorgetown, TX 78628-8801
Mailing Address1512 Leander RdGeorgetown, TX 78628-8801
Phone(512) 948-7611
Organization SubpartNo
Authorized OfficialJeffrey P MadisonCeo · (512) 446-4500
Enumeration DateMay 14, 2014
✔ NPI 1073924932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
1512 LEANDER RD, Georgetown, TX 78628
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Other Names 1

Doing Business AsLittle River Healthcare Speciality Clinic

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LITTLE RIVER MEDICAL GROUP
Durable Medical Equipment & Medical Supplies
1512 LEANDER RD
GEORGETOWN, TX 78628
Williamson County (512) 948-7611
SAEID ABBASIYAN DDS
Dentist (General Practice)
1512 LEANDER RD
GEORGETOWN, TX 78628
Williamson County (214) 960-6367
GEORGETOWN ELITE DENTAL
Clinic/Center (Dental)
1512 LEANDER RD
GEORGETOWN, TX 78628
Williamson County (214) 960-6367
DR. JIHEE PARK D.M.D.
Dentist (General Practice)
1512 LEANDER RD
GEORGETOWN, TX 78628
Williamson County (737) 444-2626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rockdale Blackhawk LLC's NPI number?

The NPI number for Rockdale Blackhawk LLC is 1073924932. It was assigned to this organization in the NPPES registry on May 14, 2014. The provider is doing business as Little River Healthcare Speciality Clinic.

Where is Rockdale Blackhawk LLC located?

Rockdale Blackhawk LLC is located at 1512 Leander Rd, Georgetown, TX 78628. The listed phone number is (512) 948-7611.

What is Rockdale Blackhawk LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Rockdale Blackhawk LLC was last updated on May 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.