Rose Haven

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1004095 Issued in OR

Legal business name

ROSE HAVEN

Practice address

740 NW Hill Ave
Roseburg, OR 97470-1672

Phone

(541) 672-1631

Fax

(541) 672-1563

NPI assigned

May 1, 2008

Organization subpart

Yes

Parent organization

PINNACLE HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Mr. Brian Fischer, B.S.

Title

Otr

Phone

(541) 672-1631

Specialties & licenses 1

Addresses

Part of

Pinnacle Healthcare Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pinnacle Healthcare, Inc.

  • Pediatric Skilled Nursing Facility
  • Springfield, OR
  • NPI 1649348236
  NPPES parent name

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1245406156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 NW HILL AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701672",
            "telephone_number": "541-672-1631",
            "fax_number": "541-672-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 NW HILL AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701672",
            "telephone_number": "541-672-1631",
            "fax_number": "541-672-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE HAVEN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE HEALTHCARE",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OTR",
        "authorized_official_telephone_number": "541-672-1631",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": "1004095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Walter Roman, D.D.S.
• Kimberly Ann Romano, RNFA
• Nicole Michelle Romero
• Peyton Michael Rondeau, RD
• Tammy Jo Rondeau
• Rebecca Luh Rose, BS
• Roseburg Acupuncture LLC
• Roseburg Anesthesiology Specialists
• Roseburg Chiropractic PC
• Roseburg Clinic PC

• Skilled Nursing Facility in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Skilled Nursing Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.