Organization Active NPI

Rosemary Home II

  • Adult Care Home Facility
  • Clovis, CA
National Provider Identifier
1417323486
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
107200829 Issued in CA
Legal business name
ROSEMARY HOME II
Practice address
1828 Santa Ana
Clovis, CA 93611-9208
Phone
(559) 291-1800
NPI assigned
Aug 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Mrs. Chandra G Raj
Title
Owner
Phone
(559) 291-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 107200829 CA Primary

Addresses

Primary practice location

1828 Santa Ana
Clovis, CA 93611-9208

Mailing address

3354 Gettysburg Ave
Clovis, CA 93619-5208
Phone (559) 291-1800

National Provider Directory

National Provider Directory
Tax ID family
Rosemary Home II2 organizations share this tax ID, including this one

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": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1417323486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3354 GETTYSBURG AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936195208",
            "telephone_number": "559-291-1800",
            "fax_number": "559-291-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 SANTA ANA",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936119208",
            "telephone_number": "559-291-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMARY HOME II",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "RAJ",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-291-1800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "107200829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.