NPIMap

Organization Active NPI

Rosewood I & Rosewood II

  • Adult Care Home Facility
  • Ithaca, MI
National Provider Identifier
1356776926
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AL290066931 Issued in MI
Legal business name
ROSEWOOD I & ROSEWOOD II
Practice address
1306 S State Rd
Ithaca, MI 48847-9501
Phone
(989) 875-2998
Fax
(989) 875-2988
NPI assigned
Sep 13, 2013
Last updated
Sep 13, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
ROSEWOOD ADULT FOSTER CARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Mrs. Myra Sue Ruthig
Title
Owner / Licensee Designee
Phone
(989) 875-2998

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AS290285025 MI
Adult Care Home Facility 311ZA0620X AL290066931 MI Primary

Addresses

Primary practice location

1306 S State Rd
Ithaca, MI 48847-9501

Mailing address

1306 S State Rd
Ithaca, MI 48847-9501
Phone (989) 875-2998

Other identifiers 1

IdentifierTypeStateIssuer
4766706MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Rosewood of Carson City2 organizations share this tax ID, including this one
Part of
Rosewood of Carson City

Other organizations with this tax ID 1

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": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1356776926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 S STATE RD",
            "city": "ITHACA",
            "state": "MI",
            "postal_code": "488479501",
            "telephone_number": "989-875-2998",
            "fax_number": "989-875-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 S STATE RD",
            "city": "ITHACA",
            "state": "MI",
            "postal_code": "488479501",
            "telephone_number": "989-875-2998",
            "fax_number": "989-875-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWOOD I & ROSEWOOD II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSEWOOD ADULT FOSTER CARE INC.",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "RUTHIG",
        "authorized_official_first_name": "MYRA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER / LICENSEE DESIGNEE",
        "authorized_official_telephone_number": "989-875-2998",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS290285025",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AL290066931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4766706",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.