Organization Active NPI

Ernest H Rosser Foundation, LLC

  • In Home Supportive Care Agency
  • Littleton, NC
National Provider Identifier
1487191672
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ERNEST H ROSSER FOUNDATION, LLC
Practice address
25 Summit Rd
Littleton, NC 27850-9673
Phone
(252) 578-8121
NPI assigned
Jan 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Demetria Rosser
Title
Ceo
Phone
(252) 578-8121

Specialties & licenses 1

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

Addresses

Primary practice location

25 Summit Rd
Littleton, NC 27850-9673

Mailing address

25 Summit Rd
Littleton, NC 27850-9673

Other identifiers 1

IdentifierTypeStateIssuer
0000000MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1487191672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SUMMIT RD",
            "city": "LITTLETON",
            "state": "NC",
            "postal_code": "278509673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SUMMIT RD",
            "city": "LITTLETON",
            "state": "NC",
            "postal_code": "278509673",
            "telephone_number": "252-578-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST H ROSSER FOUNDATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "ROSSER",
        "authorized_official_first_name": "DEMETRIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-578-8121"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.