Active NPI
Red Roses
- Assisted Living Facility (Mental Illness)
- Boise, ID
National Provider Identifier
1083782593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- License
- RC-599
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.