Rosemont Rest Home Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HAL-078-020 Issued in NC

Legal business name

ROSEMONT REST HOME INC.

Practice address

602 Glendale Ave
Lumberton, NC 28358-6724

Phone

(910) 318-9667

Fax

(910) 276-9223

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Marlita Moujahed

Title

Owner

Phone

(910) 318-9667

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619015773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2804",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283722804",
            "telephone_number": "910-318-9667",
            "fax_number": "910-276-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 GLENDALE AVE",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283586724",
            "telephone_number": "910-318-9667",
            "fax_number": "910-276-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMONT REST HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOUJAHED",
        "authorized_official_first_name": "MARLITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-318-9667"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-078-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804164",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Joseph Robniak
• Cynthia J. Rodriguez
• Omar Rodriguez, M.D.
• April Morris Rogers
• Oscar Joel Rogers
• Mark Steele Ross, PT
• Mandi Izzell Royal, SLP
• Stephen H. Royal, M.D.
• Rozier & Lane Gynecology PA
• John C Rozier Jr., M.D.

• Adult Care Home Facility in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.