Rosewood Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

CRC1367 Issued in SC

Legal business name

ROSEWOOD ASSISTED LIVING, LLC

Practice address

5221 Highway 215
Pauline, SC 29374

Phone

(864) 573-4060

Fax

(864) 573-1050

NPI assigned

Jun 25, 2013

Last updated

Jun 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Howell Clobes, M.L.A., CRCFA

Title

Owner/Administrator

Phone

(864) 573-4060

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1518307446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 HIGHWAY 215",
            "city": "PAULINE",
            "state": "SC",
            "postal_code": "29374",
            "telephone_number": "864-573-4060",
            "fax_number": "864-573-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 HIGHWAY 215",
            "city": "PAULINE",
            "state": "SC",
            "postal_code": "29374",
            "telephone_number": "864-573-4060",
            "fax_number": "864-573-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWOOD ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "CLOBES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "HOWELL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "864-573-4060",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.L.A., CRCFA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "CRC1367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Renee Fiocca, MA, BCBA
• Christina Dawn Guyton-Milley
• Lauren A Lanzon, BCBA, LISW-CP
• Jessica Melton
• Tracie Powell, RN
• Paige Forrester Smith, LMFT, LAC
• Donna Shuler Stevens, CCC-SLP, MSP
• Alyssa Kitana Valdez

• Assisted Living Facility in Pauline, SC
• Providers in Pauline, SC by specialty
• Assisted Living Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.