Active NPI
Rosewood Manor Inc
- Skilled Nursing Facility
- Columbia, TN
National Provider Identifier
1134185804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0000000184
- Legal business name
- ROSEWOOD MANOR INC
- Practice address
- 1400 Rosewood Dr
Columbia, TN 38401-4878 - Phone
- (931) 388-6573
- Fax
- (931) 540-0154
- NPI assigned
- Apr 21, 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. Kelly R Thomas
- Title
- Secretary
- Phone
- (615) 905-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0000000184 | TN | Primary |
Addresses
Primary practice location
1400 Rosewood Dr
Columbia, TN 38401-4878
Mailing address
PO Box 10
Parsons, TN 38363-0010
Phone (731) 847-6343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 744-0534 | Medicaid | TN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469404800000",
"number": "1134185804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "PARSONS",
"state": "TN",
"postal_code": "383630010",
"telephone_number": "731-847-6343",
"fax_number": "731-847-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 ROSEWOOD DR",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014878",
"telephone_number": "931-388-6573",
"fax_number": "931-540-0154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSEWOOD MANOR INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-21",
"last_updated": "2016-07-25",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "615-905-5200",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": "0000000184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "744-0534",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.