Active NPI
Roselle Care LLC
- Assisted Living Facility
- Placentia, CA
National Provider Identifier
1710523758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306005622 | Other | CA | RCFE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mt_romel@yahoo.con | Direct |
National Provider Directory
National Provider DirectoryNPI 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.