NPIMap

Organization Active NPI

Rosewood Adult Residential Facilities,Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Long Beach, CA
National Provider Identifier
1205009495
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
ROSEWOOD ADULT RESIDENTIAL FACILITIES,INC.
Practice address
1710 E 4TH St
Long Beach, CA 90802-1904
Phone
(310) 849-1338
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Mrs. Crystal Marie Breedlove
Title
Vice Presidnet
Phone
(310) 849-1338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X CA Primary

Addresses

Primary practice location

1710 E 4TH St
Long Beach, CA 90802-1904

Mailing address

4332 Parkview Dr
Lakewood, CA 90712-3844
Phone (310) 849-1338

National Provider Directory

National Provider Directory
Tax ID family
Rosewood Adult Residential Facilitiesinc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1205009495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 PARKVIEW DR",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907123844",
            "telephone_number": "310-849-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E 4TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908021904",
            "telephone_number": "310-849-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWOOD ADULT RESIDENTIAL FACILITIES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "BREEDLOVE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VICE PRESIDNET",
        "authorized_official_telephone_number": "310-849-1338",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.