Rouse Community Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC0327 Issued in SC

Legal business name

ROUSE COMMUNITY CARE HOME

Practice address

8809 Wilson Blvd
Columbia, SC 29203-1817

Phone

(803) 513-6700

NPI assigned

Jul 10, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Charlene E Rouse

Title

Owner/ Administrator

Phone

(803) 513-6700

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1740664598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "STATE PARK",
            "state": "SC",
            "postal_code": "291470134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8809 WILSON BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292031817",
            "telephone_number": "803-513-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUSE COMMUNITY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "803-513-6700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "RC0327",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "RC0328",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "RC0238",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RC0327",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samiyah Rosser
• George M. Rossi, LPC/A
• Joan Rost, MA
• Mindy M Roth, APRN
• Alexander Rotoloni, DO
• Jessica Rouse
• Stephanie Rouse, LICENSED PRACTICAL N
• Tawisha Tawanda Rouse, LMSW
• Summer Rose Roush
• Annie Danna Mercier Rouza, M.D.

• Assisted Living Facility in Columbia, SC
• Providers in Columbia, SC by specialty
• Assisted Living Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.