Rosa'S Assisted Living

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

138374 Issued in TX

Legal business name

ROSA'S ASSISTED LIVING

Practice address

5254 Round Table Dr
San Antonio, TX 78218-2826

Phone

(210) 650-9963

NPI assigned

Aug 8, 2014

Organization subpart

No

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

Authorized official

Name

Rosa L Toney, NURSE

Title

Administrator

Phone

(210) 650-9963

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1629487178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 OAKHILL PARK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494455",
            "telephone_number": "210-382-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5254 ROUND TABLE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782182826",
            "telephone_number": "210-650-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA'S ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "TONEY",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-650-9963",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "138374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528594471",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508295273",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519497093",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "516824935",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anitra Rosa
• Christopher James Rosa, AGACNP-BC
• Elizabeth Rosa
• Mercedes Ariez Rosa, RN
• Nereida Rosa
• Ana Rosado
• Angelique Maylene Rosado
• Marian Rosado, DDS
• Miguel Angel Rosado, MSN, RN, FNP-BC
• Samuel Rosado III, APRN

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.