Individual provider Active NPI

Rosylin Agatha Parkes

  • Adult Care Home Facility
  • Port Charlotte, FL
National Provider Identifier
1023144409
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
6905972 Issued in FL
Practice address
23442 Garrett Ave
Port Charlotte, FL 33954-2533
Phone
(941) 391-6502
Fax
(941) 391-6502
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 6905972 FL Primary

Addresses

Primary practice location

23442 Garrett Ave
Port Charlotte, FL 33954-2533

Mailing address

23442 Garrett Ave
Port Charlotte, FL 33954-2533
Phone (941) 391-6502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6905972FLMDAdult Care Home Facility

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1023144409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23442 GARRETT AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542533",
            "telephone_number": "941-391-6502",
            "fax_number": "941-391-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23442 GARRETT AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542533",
            "telephone_number": "941-391-6502",
            "fax_number": "941-391-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKES",
        "first_name": "ROSYLIN",
        "middle_name": "AGATHA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6905972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.