Active NPI
Kenneth Eran Rosher
- Assisted Living Facility
- Largo, FL
National Provider Identifier
1528347309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL11997
- Practice address
- 1617 Madrid Drive
Largo, FL 33778 - Phone
- (727) 412-8837
- Fax
- (727) 412-8842
- NPI assigned
- Aug 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL11997 | FL | Primary |
Addresses
Primary practice location
1617 Madrid Drive
Largo, FL 33778
Mailing address
402 Bridadoon Drive
Clearwater, FL 33759
Phone (727) 412-8837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL11997 | FL | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1528347309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 BRIDADOON DRIVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33759",
"telephone_number": "727-412-8837",
"fax_number": "727-412-8842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 MADRID DRIVE",
"city": "LARGO",
"state": "FL",
"postal_code": "33778",
"telephone_number": "727-412-8837",
"fax_number": "727-412-8842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSHER",
"first_name": "KENNETH",
"middle_name": "ERAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-10",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL11997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.