Active NPI
Rhonda Louanne Rawdon
- In Home Supportive Care Agency
- Rock Hill, SC
National Provider Identifier
1396446787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- RHONDA LOUANNE RAWDON
- Doing business as
- Cosmos Living
Cosmos Living c/o Rhonda Louanne Rawdon-Couch - Practice address
- 1048 Croatoan Dr
Rock Hill, SC 29730-9626 - Phone
- (803) 207-6756
- Fax
- (866) 412-6766
- NPI assigned
- Mar 14, 2023
- 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
- Rhonda Louanne Couch, LPN
- Title
- Owner
- Phone
- (803) 207-6756
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Public Health or Welfare Agency | 251K00000X | |||
| Voluntary or Charitable Agency | 251V00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | |||
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1048 Croatoan Dr
Rock Hill, SC 29730-9626
Mailing address
1048 Croatoan Dr
Rock Hill, SC 29730-9626
Phone (803) 207-6756
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396446787 | Medicaid | SC | |
| EY1208 | Medicaid | SC |
Other names 2
- Cosmos Living
- Cosmos Living c/o Rhonda Louanne Rawdon-Couch
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728604800000",
"number": "1396446787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1048 CROATOAN DR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297309626",
"telephone_number": "803-207-6756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1048 CROATOAN DR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297309626",
"telephone_number": "803-207-6756",
"fax_number": "866-412-6766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RHONDA LOUANNE RAWDON",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-14",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A",
"authorized_official_last_name": "COUCH",
"authorized_official_first_name": "RHONDA",
"authorized_official_middle_name": "LOUANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-207-6756",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": null,
"license": null,
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396446787",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EY1208",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cosmos Living",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cosmos Living c/o Rhonda Louanne Rawdon-Couch",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cosmos Living c/o Rhonda Louanne Rawdon-Couch",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.