Organization Active NPI

Red Roses

  • Assisted Living Facility (Mental Illness)
  • Boise, ID
National Provider Identifier
1083782593
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
RC-599 Issued in ID
Legal business name
RED ROSES
Practice address
2525 N Maple Grove Rd
Boise, ID 83704-5663
Phone
(208) 375-2564
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Ms. Rhonda E Repp
Title
Owner, Administrator
Phone
(208) 375-2564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X RC-599 ID Primary

Addresses

Primary practice location

2525 N Maple Grove Rd
Boise, ID 83704-5663

Mailing address

2525 N Maple Grove Rd
Boise, ID 83704-5663
Phone (208) 375-2564

Other names 1

  • virginia rose resident inn Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1083782593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N MAPLE GROVE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045663",
            "telephone_number": "208-375-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N MAPLE GROVE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045663",
            "telephone_number": "208-375-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROSES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "REPP",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "208-375-2564",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "ID",
            "license": "RC-599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "virginia rose resident inn",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.