Active NPI
Rosegreen Health Care Services, LLC
- Home Health Agency
- Leesburg, GA
National Provider Identifier
1548733488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ROSEGREEN HEALTH CARE SERVICES, LLC
- Practice address
- 100 Widgeon Dr
Leesburg, GA 31763-4195 - Phone
- (229) 449-0180
- NPI assigned
- Jan 3, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Nelson
- Title
- Owner/President
- Phone
- (229) 449-0180
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
100 Widgeon Dr
Leesburg, GA 31763-4195
Mailing address
100 Widgeon Dr
Leesburg, GA 31763-4195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
515 N Westover Blvd
Ste C5
Albany, GA 31707
Phone (229) 234-2817
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Leesburg, GA
- NPI 1932561131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612483200000",
"number": "1548733488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WIDGEON DR",
"city": "LEESBURG",
"state": "GA",
"postal_code": "317634195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WIDGEON DR",
"city": "LEESBURG",
"state": "GA",
"postal_code": "317634195",
"telephone_number": "229-449-0180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSEGREEN HEALTH CARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-03",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "229-449-0180"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.