Rose Meadow Assisted Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

107208772 Issued in CA

Legal business name

ROSE MEADOW ASSISTED LIVING, INC.

Practice address

5627 N Bond St
Fresno, CA 93710-6315

Phone

(559) 538-0158

Fax

(559) 840-1991

NPI assigned

Aug 11, 2017

Organization subpart

No

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

Authorized official

Name

Rita Leija

Title

President

Phone

(559) 538-0158

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rose Meadow Manor Doing business as

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700301603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 N BOND ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106315",
            "telephone_number": "559-538-0158",
            "fax_number": "559-840-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5627 N BOND ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106315",
            "telephone_number": "559-538-0158",
            "fax_number": "559-840-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE MEADOW ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEIJA",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-538-0158"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "107208772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RCFE LICENSE",
            "identifier": "107208772",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Meadow Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denice America Rosas
• Laura Isela Rosas
• Mauricio Rosas
• Mia Dayanara Rosas
• Ruby Rosas
• Amber M. Rose-Smith
• April Rose
• Ashley Nicole Rose, M.S., LMFT
• Christopher Brandon Rose
• David Bruce Rose, PH.D.

• Assisted Living Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.