Active NPI
Rose Hill Family Care Home
- Adult Care Home Facility
- Raleigh, NC
National Provider Identifier
1144765520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- FCL092220
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1116 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.