Rose of Sharon Garden Alf

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

AL10291 Issued in FL

Legal business name

ROSE OF SHARON GARDEN ALF

Practice address

8400 NW 28 St.
Sunrise, FL 33322

Phone

(954) 747-0869

Fax

(954) 749-9644

NPI assigned

Apr 9, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Marline Roberts Jackson, CNA, MA.

Title

Administrator

Phone

(954) 821-7511

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1285990762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 NW 28TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333222314",
            "telephone_number": "954-747-0869",
            "fax_number": "954-749-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 NW 28 ST.",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33322",
            "telephone_number": "954-747-0869",
            "fax_number": "954-749-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE OF SHARON GARDEN ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARLINE",
        "authorized_official_middle_name": "ROBERTS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-821-7511",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNA, MA."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "AL10291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002673200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ada Rosabal de Silva, PSYD
• Arnel Rafael Rosal
• Natalia Rosario, PA-C
• Rosas Mental Health Center LLC
• Pedro Enrique Rosas Santiago
• Rose'S Global Enterprises LLC
• Sasha Rosemond, LCSW
• Alan L. Rosenberg, MD
• Chinyere A Rosensteel
• Allen Howard Rosenthal, DDS

• Health Maintenance Organization in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.