Active NPI
Rose Home Health Consulting LLC
- Community Health Worker
- Wilmington, NC
National Provider Identifier
1669294260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- ROSE HOME HEALTH CONSULTING LLC
- Practice address
- 1013 Glenlea Dr
Wilmington, NC 28405-2203 - Phone
- (910) 262-9067
- Fax
- (910) 253-9844
- NPI assigned
- Oct 26, 2024
- 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
- Tiffany Tani Walker, CPSS
- Title
- Owner
- Phone
- (910) 262-9067
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
1013 Glenlea Dr
Wilmington, NC 28405-2203
Mailing address
PO Box 105
Wilmington, NC 28402-0105
Phone (910) 262-9067
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730592000000",
"number": "1669294260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 105",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284020105",
"telephone_number": "910-262-9067",
"fax_number": "910-253-9844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 GLENLEA DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284052203",
"telephone_number": "910-262-9067",
"fax_number": "910-253-9844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE HOME HEALTH CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-26",
"last_updated": "2024-11-03",
"certification_date": "2024-11-03",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "TANI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-262-9067",
"authorized_official_credential": "CPSS"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.