Roselyn Homecare Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ROSELYN HOMECARE INC

Practice address

1322 Lock Heath TRL
Lawrenceville, GA 30045-3554

Phone

(404) 542-7428

NPI assigned

Oct 14, 2021

Organization subpart

No

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

Authorized official

Name

Anthony EgejuruNPI 1033872262

Title

Ceo

Phone

(404) 542-7428

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Egejuru

  • Nursing Home Administrator
  • Lawrenceville, GA
  • NPI 1033872262
  NPD Authorized official

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1205599461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 LOCK HEATH TRL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453554",
            "telephone_number": "404-542-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 LOCK HEATH TRL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453554",
            "telephone_number": "404-542-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELYN HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "EGEJURU",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-542-7428"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chetana Rondla, M.D.
• Jilpa P Ronvelwala, PAAA
• Brandy Jo Ann Rooffener
• Destiny Roper
• Emily Griffin Roper, RN, APNP, PNP
• Christine Rosenberg McGowan, D.D.S.
• Kayla G Rosenberg, FNP
• Alvin I. Rosenthal, M.D.
• Courtney Brandon Ross, DHA, MSN, RN, CNL
• Floria Mae Ross, BSW

• In Home Supportive Care Agency in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.