NPIMap

Organization Active NPI

Rosemont Residential Care , LLC

  • Assisted Living Facility
  • Greensboro, NC
National Provider Identifier
1306913520
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL041011 Issued in NC
Legal business name
ROSEMONT RESIDENTIAL CARE , LLC
Doing business as
Serenity Care Rest Home
Practice address
2500 Olivet CT
Greensboro, NC 27406-9443
Phone
(336) 275-6932
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Larry W Patton
Title
Member Manager
Phone
(434) 509-4060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL041011 NC Primary

Addresses

Primary practice location

2500 Olivet CT
Greensboro, NC 27406-9443

Mailing address

1045 Main St Ste 4
Danville, VA 24541-1800

Other identifiers 1

IdentifierTypeStateIssuer
7805174MedicaidNC

Other names 1

  • Serenity Care Rest Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rosemont Residential Care LLC3 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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1306913520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 MAIN ST STE 4",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 OLIVET CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069443",
            "telephone_number": "336-275-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMONT RESIDENTIAL CARE , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "434-509-4060"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL041011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805174",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Care Rest Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.