Rosebud Headquaters LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

ROSEBUD HEADQUATERS LLC

Practice address

300 Sandy CT
Kannapolis, NC 28083-8036

Phone

(980) 334-1319

NPI assigned

Jun 1, 2026

Organization subpart

No

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

Authorized official

Name

Tayha Black

Title

President

Phone

(980) 334-1319

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1548192073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BOSTIAN ST",
            "city": "CHINA GROVE",
            "state": "NC",
            "postal_code": "280232438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SANDY CT",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280838036",
            "telephone_number": "980-334-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBUD HEADQUATERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-05-31",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "TAYHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "980-334-1319"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Private Vehicle in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.