Organization Active NPI

J'Rose Personal Care Services

  • In Home Supportive Care Agency
  • Gastonia, NC
National Provider Identifier
1689970345
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4292 Issued in NC
Legal business name
J'ROSE PERSONAL CARE SERVICES
Practice address
3816 S New Hope Rd Ste 22
Gastonia, NC 28056-8493
Phone
(704) 824-8323
Fax
(704) 879-4490
NPI assigned
Jan 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Mrs. Joecilyn Lavada Wallace, MS
Title
President/Agency Director
Phone
(704) 824-8323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4292 NC Primary

Addresses

Primary practice location

3816 S New Hope Rd Ste 22
Gastonia, NC 28056-8493

Mailing address

3816-22 S. New Hope Road
Gastonia, NC 28056
Phone (704) 824-8323

National Provider Directory

National Provider Directory

Locations

3816 S New Hope Rd
Ste 22
Gastonia, NC 28056
Phone (704) 824-8323

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1689970345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816-22 S. NEW HOPE ROAD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28056",
            "telephone_number": "704-824-8323",
            "fax_number": "704-879-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 S NEW HOPE RD STE 22",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568493",
            "telephone_number": "704-824-8323",
            "fax_number": "704-879-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J'ROSE PERSONAL CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "JOECILYN",
        "authorized_official_middle_name": "LAVADA",
        "authorized_official_title_or_position": "PRESIDENT/AGENCY DIRECTOR",
        "authorized_official_telephone_number": "704-824-8323",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.