Organization Active NPI

Rose Hill Family Care Home

  • Adult Care Home Facility
  • Raleigh, NC
National Provider Identifier
1144765520
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL092220 Issued in NC
Legal business name
ROSE HILL FAMILY CARE HOME
Practice address
1705 Beacon Bluff Street
Raleigh, NC 27604
Phone
(919) 522-8581
NPI assigned
Dec 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Roseline O Nwadigo, BSN, RN
Title
Administrator
Phone
(919) 522-8581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL092220 NC Primary

Addresses

Primary practice location

1705 Beacon Bluff Street
Raleigh, NC 27604

Mailing address

1705 Beacon Bluff St
Raleigh, NC 27604-5446
Phone (919) 522-8581

Other identifiers 1

IdentifierTypeStateIssuer
1116MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1144765520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 BEACON BLUFF ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276045446",
            "telephone_number": "919-522-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 BEACON BLUFF STREET",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27604",
            "telephone_number": "919-522-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE HILL FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "NWADIGO",
        "authorized_official_first_name": "ROSELINE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-522-8581",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL092220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1116",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.