Leona Rossbach

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

AF500287496 Issued in MI

Practice address

29225 Utica Rd
Roseville, MI 48066-4624

Phone

(586) 773-7094

NPI assigned

Jun 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306376637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29225 UTICA RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664624",
            "telephone_number": "586-773-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29225 UTICA RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664624",
            "telephone_number": "586-773-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSBACH",
        "first_name": "LEONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AF500287496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd R Rosenmayer, CCAR
• Roseville Medical, P.C.
• Roseville Mi Opco LLC
• Roseville RX, Inc.
• Roseville Urgent Care, PC
• Debra J. Rossie, CNM, MSN
• Briana Roy, LCSW
• Terry Lee Rudolph, PH.D
• Jennifer Simpson Ruprecht, PA
• Diane Gail Russell, M.S.W.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Roseville, MI
• Providers in Roseville, MI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.