Organization Active NPI

Rose of Sharon of Central FL Inc

  • Home Health Agency
  • Leesburg, FL
National Provider Identifier
1003583253
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ROSE OF SHARON OF CENTRAL FL INC
Practice address
1028 W North Blvd Ste B
Leesburg, FL 34748-5093
Phone
(352) 255-4060
NPI assigned
Aug 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fraizer Marshall
Title
Owner
Phone
(352) 255-4060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1028 W North Blvd Ste B
Leesburg, FL 34748-5093

Mailing address

1028 W North Blvd Ste B
Leesburg, FL 34748-5093
Phone (352) 255-4060

National Provider Directory

National Provider Directory
Tax ID family
Rose of Sharon of Central FL Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1028 W North Blvd
Ste B
Leesburg, FL 34748
Phone (352) 255-4060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1003583253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 W NORTH BLVD STE B",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485093",
            "telephone_number": "352-255-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 W NORTH BLVD STE B",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485093",
            "telephone_number": "352-255-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE OF SHARON OF CENTRAL FL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "FRAIZER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-255-4060"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.