Organization Active NPI

The Rose Assisted Living Center

  • Home Health Agency
  • Montgomery, TX
National Provider Identifier
1619331121
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010069 Issued in TX
Legal business name
THE ROSE ASSISTED LIVING CENTER
Practice address
10814 Twin Circles Dr
Montgomery, TX 77356-4734
Phone
(713) 241-1141
Fax
(713) 241-1149
NPI assigned
Apr 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Janice Calloway
Title
Executive Director
Phone
(713) 241-1141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010069 TX Primary

Addresses

Primary practice location

10814 Twin Circles Dr
Montgomery, TX 77356-4734

Mailing address

10814 Twin Circles Dr
Montgomery, TX 77356-4734
Phone (713) 241-1141

Other identifiers 1

IdentifierTypeStateIssuer
1467607689MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
All Nations Home Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1619331121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10814 TWIN CIRCLES DR",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773564734",
            "telephone_number": "713-241-1141",
            "fax_number": "713-241-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10814 TWIN CIRCLES DR",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773564734",
            "telephone_number": "713-241-1141",
            "fax_number": "713-241-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROSE ASSISTED LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "CALLOWAY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "713-241-1141"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467607689",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.