The Rosalie Foundation LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

MHL-092-691 Issued in NC

Legal business name

THE ROSALIE FOUNDATION LLC

Practice address

772 Saint George Rd
Raleigh, NC 27610-3757

Phone

(919) 231-2826

Fax

(919) 654-7770

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Shanicka Lynch

Title

Ceo/Owner

Phone

(919) 231-2826

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1033306360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 MAYBROOK CROSSING DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103296",
            "telephone_number": "919-231-2826",
            "fax_number": "919-654-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 SAINT GEORGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103757",
            "telephone_number": "919-231-2826",
            "fax_number": "919-654-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROSALIE FOUNDATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "SHANICKA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "919-231-2826",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL-092-691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.