Active NPI
Rose Vista Home Care LLC
- Customized Equipment (DME)
- Kinston, NC
National Provider Identifier
1194474429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- ROSE VISTA HOME CARE LLC
- Practice address
- 2202 Melissa LN Apt 19
Kinston, NC 28504-8804 - Phone
- (252) 654-4337
- NPI assigned
- Mar 23, 2022
- 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
- Janet Moose
- Title
- Owner/Vice President
- Phone
- (828) 712-2345
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
2202 Melissa LN Apt 19
Kinston, NC 28504-8804
Mailing address
2202 Melissa LN Apt 19
Kinston, NC 28504-8804
Phone (252) 654-4337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250918003967 | NC | DME Supplier - Medical Supply Company | 7911401286 | Practice locations: Kinston, NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Rose Vista Home Care LLC | Blood Glucose Monitors/Supplies (Non-Mail Order)|Urological Supplies | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Rose Vista Home Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Kinston, NC
- NPI 1457158198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751241600000",
"number": "1194474429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 MELISSA LN APT 19",
"city": "KINSTON",
"state": "NC",
"postal_code": "285048804",
"telephone_number": "252-654-4337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 MELISSA LN APT 19",
"city": "KINSTON",
"state": "NC",
"postal_code": "285048804",
"telephone_number": "252-654-4337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE VISTA HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-23",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A",
"authorized_official_last_name": "MOOSE",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
"authorized_official_telephone_number": "828-712-2345"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.