Rose'S Premier Personal Care Home, Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ROSE'S PREMIER PERSONAL CARE HOME, CORPORATION

Doing business as

Rose's Premier Personal Care Home

Practice address

3905 Price Rd
Gainesville, GA 30506-5362

Phone

(678) 696-5428

NPI assigned

Sep 9, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Lorna Dricketts

Title

Owner

Phone

(718) 908-8502

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rose's Premier Personal Care Home Doing business as

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1023739737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 PRICE RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305065362",
            "telephone_number": "678-696-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 PRICE RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305065362",
            "telephone_number": "678-696-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE'S PREMIER PERSONAL CARE HOME, CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "DRICKETTS",
        "authorized_official_first_name": "LORNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-908-8502",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROVIDER ID",
            "identifier": "PCH008016",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose's Premier Personal Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emma Maria Rolland, MD
• Ron D. Wilson DMD PC
• Noemi Rosario
• Adam Rose
• Eric Rose, CAA
• Miriam Beth Rosenberg, M.A., CCC-SLP
• Nathan Rosetti, PT, DPT
• Heather Hamilton Ross, MPT, PHD
• Justin Ross, AGACNP
• Thomas J Rossi, O.D.

• Assisted Living Facility in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.