Rose Place Afh LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ROSE PLACE AFH LLC

Practice address

212 Rose PL
Puyallup, WA 98371-5075

Phone

(334) 492-1468

NPI assigned

May 3, 2024

Organization subpart

No

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

Authorized official

Name

Michael Gichigo

Title

Adult Care Home Administrator

Phone

(334) 492-1468

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1366299661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 ROSE PL",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 ROSE PL",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715075",
            "telephone_number": "334-492-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE PLACE AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "GICHIGO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADULT CARE HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "334-492-1468"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Rongved, RN
• Kayla Roof
• Mykaela Jean Roof, RN
• Deven Altiena Ropes, DPT
• Melanie A Roscoe, MD
• Erin Marie Rose, R.PH.
• Elizabeth Rosenblatt
• Talitha M Roshau, OTR
• Ryan Alan Rosner
• Justine Heather Ross

• Adult Care Home Facility in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.