Organization Active NPI

Roselle Care LLC

  • Assisted Living Facility
  • Placentia, CA
National Provider Identifier
1710523758
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ROSELLE CARE LLC
Practice address
226 Hannah Way
Placentia, CA 92870-4636
Phone
(714) 572-1877
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Romel Bisda
Title
Owner
Phone
(626) 617-8483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

226 Hannah Way
Placentia, CA 92870-4636

Mailing address

408 La Plaza Dr
Brea, CA 92823-6369

Other identifiers 1

IdentifierTypeStateIssuer
306005622OtherCARCFE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mt_romel@yahoo.con Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1710523758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 LA PLAZA DR",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928236369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 HANNAH WAY",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928704636",
            "telephone_number": "714-572-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELLE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "BISDA",
        "authorized_official_first_name": "ROMEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-617-8483"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RCFE",
            "identifier": "306005622",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mt_romel@yahoo.con",
            "affiliation": "N",
            "endpointDescription": "mt_romel@yahoo.con",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "226 Hannah Way",
            "city": "Placentia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928704636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.