Organization Active NPI

Phyllis Rosen Inc

Doing business as Visiting Angelsof SE Florida

  • In Home Supportive Care Agency
  • Delray Beach, FL
National Provider Identifier
1487181731
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
30211262 Issued in FL
Legal business name
PHYLLIS ROSEN INC
Doing business as
Visiting Angelsof SE Florida
Practice address
5300 W Atlantic Ave Ste 102
Delray Beach, FL 33484-8100
Phone
(561) 865-9040
Fax
(888) 834-0655
NPI assigned
May 17, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Maria Dileo
Title
Accounting Manager
Phone
(561) 865-9040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 30211369 FL
In Home Supportive Care Agency 253Z00000X 30211262 FL Primary

Addresses

Primary practice location

5300 W Atlantic Ave Ste 102
Delray Beach, FL 33484-8100

Mailing address

5300 W Atlantic Ave Ste 102
Delray Beach, FL 33484-8100
Phone (561) 865-9040

Other practice location 1

1761 W Hillsboro Blvd Ste 401
Deerfield Beach, FL 33442-1563
Phone (954) 656-6615

Other identifiers 2

IdentifierTypeStateIssuer
30211369OtherFLNURSE REGISTRY LICENSE
30211262OtherFLNURSE REGISTRY LICENSE

Other names 1

  • Visiting Angelsof SE Florida Doing business as

National Provider Directory

National Provider Directory

Locations

1761 W Hillsboro Blvd
Ste 401
Deerfield Beach, FL 33442
Phone (954) 656-6615

5300 Atlantic Ave
Ste 102
Delray Beach, FL 33484
Phone (561) 865-9040

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487181731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W ATLANTIC AVE STE 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848100",
            "telephone_number": "561-865-9040",
            "fax_number": "888-834-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W ATLANTIC AVE STE 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848100",
            "telephone_number": "561-865-9040",
            "fax_number": "888-834-0655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1761 W Hillsboro Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334421563",
            "country_code": "US",
            "telephone_number": "954-656-6615",
            "fax_number": "888-834-0655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYLLIS ROSEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DILEO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "561-865-9040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "30211369",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "30211262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE REGISTRY LICENSE",
            "identifier": "30211369",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE REGISTRY LICENSE",
            "identifier": "30211262",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angelsof SE Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.