Rose'S Castle Residential Services, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL032371 Issued in NC

Legal business name

ROSE'S CASTLE RESIDENTIAL SERVICES, INC.

Practice address

505 Cook Rd
Durham, NC 27713-1152

Phone

(919) 680-4637

Fax

(919) 680-4637

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Alonzo Yates

Title

Owner

Phone

(919) 680-4637

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• None Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144422452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 COOK RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131152",
            "telephone_number": "919-680-4637",
            "fax_number": "919-680-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 COOK RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131152",
            "telephone_number": "919-680-4637",
            "fax_number": "919-680-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE'S CASTLE RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "ALONZO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-680-4637",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL032371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805584",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Rose, BT
• Eleanor Rose
• Gina Rose
• Martin Rose, LCSW
• Tammy Bays Rose, LCSW
• Nancy L Rosebaugh, ANP
• Allyn McConkie- Rosell, PHD
• Michelle L. Roseman, LCSW-A
• Jeannine Marie Rosen, OTR/L
• Rachel Ann Rosen, DNP AGNP-C

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Durham, NC
• Providers in Durham, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.