Monica Nacole Roseborough, OPERATOR OWNER

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Practice address

4911 S Meridian Ave
Wichita, KS 67217-3709

Phone

(316) 806-1588

Fax

(316) 352-7646

NPI assigned

Aug 26, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marcella'S Family Home Care, LLC

  • Assisted Living Facility
  • Wichita, KS
  • NPI 1508740911

  Nursing Care

  NPD Authorized official

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1629801451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 S MERIDIAN AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672173709",
            "telephone_number": "316-806-1588",
            "fax_number": "316-352-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 S MERIDIAN AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672173709",
            "telephone_number": "316-806-1588",
            "fax_number": "316-352-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEBOROUGH",
        "first_name": "MONICA",
        "middle_name": "NACOLE",
        "credential": "OPERATOR OWNER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie L Rose, OD
• Dana S Rose, RN
• Jerry Rose, LPC
• Kristin Rose, LCMFT
• Sharon B Roseberry, P.T.
• Katie R Rosell
• David Rosen, M.D.
• Thomas F Rosenberg, MD
• Rosewood House LLC
• Allison Roskam, SLP

• Nursing Care Agency in Wichita, KS
• Providers in Wichita, KS by specialty
• Nursing Care Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.