Authentic Love Rose LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AUTHENTIC LOVE ROSE LLC

Doing business as

Shanicha McNeill

Practice address

2007 Ramsey St
Fayetteville, NC 28301-4163

Phone

(910) 322-4506

NPI assigned

Aug 2, 2024

Last updated

Aug 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shanicha McNeill

Title

Administrator

Phone

(910) 322-4506

Specialties & licenses 1

Addresses

Other names 1

• SHANICHA MCNEILL Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shanicha McNeil

  • Home Health Aide
  • Fayetteville, NC
  • NPI 1689100554
  NPD

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1104656511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MANN ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283016237",
            "telephone_number": "910-322-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014163",
            "telephone_number": "910-322-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC LOVE ROSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "MCNEILL",
        "authorized_official_first_name": "SHANICHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-322-4506"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHANICHA MCNEILL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darius Austin
• Mischa Austin
• Natalie Austin
• Nicole Austin, FNP-C
• Rachel Austin, M.ED
• Authentically U Therapy & Discovery, PLLC
• Autism Answers Inc
• Autism Society of Cumberland County
• Autism Therapeutic Services (HealthPRO Pediatrics)
• Autism Therapeutic Services (HealthPRO Pediatrics)

• In Home Supportive Care Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.