Organization Active NPI

Rose Garden Afch, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Palm Bay, FL
National Provider Identifier
1679813000
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
6906251 Issued in FL
Legal business name
ROSE GARDEN AFCH, LLC
Practice address
335 Abalone Rd NW
Palm Bay, FL 32907-2961
Phone
(321) 684-8722
NPI assigned
Feb 21, 2013
Last updated
Feb 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Rose Thelamont
Title
Provider
Phone
(321) 684-8722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 6906251 FL Primary

Addresses

Primary practice location

335 Abalone Rd NW
Palm Bay, FL 32907-2961

Mailing address

335 Abalone Rd NW
Palm Bay, FL 32907-2961
Phone (321) 684-8722

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1679813000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 ABALONE RD NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072961",
            "telephone_number": "321-684-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 ABALONE RD NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072961",
            "telephone_number": "321-684-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE GARDEN AFCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "THELAMONT",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "321-684-8722"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "6906251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.