Roseville Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030000002 Issued in CA

Legal business name

ROSEVILLE CARE CENTER, INC.

Practice address

1161 Cirby Way
Roseville, CA 95661-4421

Phone

(916) 782-1238

Fax

(916) 782-1238

NPI assigned

Jul 19, 2005

Organization subpart

Yes

Parent organization

HORIZON WEST HEALTHCARE, INC.As reported in NPPES

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

Authorized official

Name

Larry E Bear

Title

Chief Executive Officer

Phone

(916) 624-6230

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Roseville Convalescent Hospital Inc Former legal business name

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1154320463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 SIERRA COLLEGE BLVD",
            "address_2": "SUITE 190",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773906",
            "telephone_number": "916-624-6230",
            "fax_number": "916-624-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 CIRBY WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614421",
            "telephone_number": "916-782-1238",
            "fax_number": "916-782-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEVILLE CARE CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HORIZON WEST HEALTHCARE, INC.",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "BEAR",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "916-624-6230"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "030000002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05886G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roseville Convalescent Hospital Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kurt D. Rosen, MD
• Heather D Rosenberg, D.C.
• Michael Rosenberg, BS
• Spencer Daniel Rosenberg, PH.D.
• Roseville Cardiology Medical Associates, Inc.
• Roseville Center for Interventional Psychiatry, Inc
• Roseville City Elementary
• Roseville Dermatology Inc.
• Roseville Diagnostic Hearing Center, Inc.
• Roseville Diagnostic Hearing Center, LLC

• Skilled Nursing Facility in Roseville, CA
• Providers in Roseville, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.