Organization Active NPI

Rosa'S Home Care Solutions

  • In Home Supportive Care Agency
  • Ellenwood, GA
National Provider Identifier
1083363154
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ROSA'S HOME CARE SOLUTIONS
Practice address
5448 Vanity Joys LN
Ellenwood, GA 30294-6615
Phone
(678) 237-8187
NPI assigned
Mar 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Kaydreka Williams
Title
Administrator
Phone
(678) 237-8187

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Nurse's AideGroup: 193400000X SINGLE SPECIALTY GROUP 376K00000X

Addresses

Primary practice location

5448 Vanity Joys LN
Ellenwood, GA 30294-6615

Mailing address

3704 Caseys CV
Ellenwood, GA 30294-1273
Phone (678) 237-8187

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1083363154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 CASEYS CV",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941273",
            "telephone_number": "678-237-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5448 VANITY JOYS LN",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302946615",
            "telephone_number": "678-237-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA'S HOME CARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KAYDREKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-237-8187"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenwood, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.