Rose & Wells, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

037 Issued in AR

Legal business name

ROSE & WELLS, INC.

Doing business as

Legacy Lodge Nursing Home

Practice address

900 W 12TH St
Russellville, AR 72801-6606

Phone

(479) 968-5858

Fax

(479) 890-6013

NPI assigned

Oct 26, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Brashear, R.N.

Title

Administrator

Phone

(479) 968-5858

Specialties & licenses 1

Addresses

Other names 1

• Legacy Lodge Nursing Home Doing business as

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1699765958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 12TH ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728016606",
            "telephone_number": "479-968-5858",
            "fax_number": "479-890-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 12TH ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728016606",
            "telephone_number": "479-968-5858",
            "fax_number": "479-890-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE & WELLS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "BRASHEAR",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "479-968-5858",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "AR",
            "license": "037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Lodge Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabrielle Rolen
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• Rosemary A Rolniak, PHYSICAL THERAPIST
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• Stephanie A. Roth, DPM

• Nursing Facility/Intermediate Care Facility in Russellville, AR
• Providers in Russellville, AR by specialty
• Nursing Facility/Intermediate Care Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.