Active NPI
Rosemont Residential Care, LLC
- Assisted Living Facility
- Greensboro, NC
National Provider Identifier
1336217710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- FCL041025
- Legal business name
- ROSEMONT RESIDENTIAL CARE, LLC
- Doing business as
- Serenity Care Family Rest Home
- Practice address
- 2500 Olivet CT
Greensboro, NC 27406-9443 - Phone
- (336) 275-6932
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | FCL041025 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7805213 | Medicaid | NC |
Other names 1
- Serenity Care Family Rest Home
National Provider Directory
National Provider Directory- Tax ID family
- Rosemont Residential Care LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Mount Gilead, NC
- NPI 1427126325
-
- Assisted Living Facility
- Greensboro, NC
- NPI 1306913520
Locations
2500 Olivet Ct
Greensboro, NC 27406
Phone (336) 275-6932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219017600000",
"number": "1336217710",
"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": "2006-12-01",
"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": "FCL041025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7805213",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Serenity Care Family 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.