Active NPI
Rose 4RM the Concrete LLC
- Adult Companion
- Clemmons, NC
National Provider Identifier
1417820754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Legal business name
- ROSE 4RM THE CONCRETE LLC
- Practice address
- 3630 Clemmons Rd
Clemmons, NC 27012-9751 - Phone
- (743) 444-1843
- NPI assigned
- Sep 24, 2025
- 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
- Ms. Lajoy E Cloud
- Title
- Owner
- Phone
- (743) 444-1843
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | |||
| Adult Companion | 372600000X | Primary | ||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
3630 Clemmons Rd
Clemmons, NC 27012-9751
Mailing address
3630 Clemmons Rd
1571
Clemmons, NC 27012
Phone (743) 444-1843
National Provider Directory
National Provider DirectoryLocations
3630 Clemmons Rd
Unit 1571
Clemmons, NC 27012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758672000000",
"number": "1417820754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3630 CLEMMONS RD",
"address_2": "1571",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "27012",
"telephone_number": "743-444-1843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 CLEMMONS RD",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270129751",
"telephone_number": "743-444-1843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE 4RM THE CONCRETE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-24",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A",
"authorized_official_last_name": "CLOUD",
"authorized_official_first_name": "LAJOY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "743-444-1843",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clemmons, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.