Organization Active NPI

Rosalie LLC

  • Adult Day Care Clinic/Center
  • Omaha, NE
National Provider Identifier
1740752195
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ROSALIE LLC
Practice address
11605 West Dodge Rd, Ste 4
Omaha, NE 68154-2566
Phone
(402) 979-7770
Fax
(402) 979-7770
NPI assigned
Dec 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Bienvenu Yemalin Addah
Title
Director
Phone
(402) 979-7770

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Adult Day Care Clinic/Center 261QA0600X Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

11605 West Dodge Rd, Ste 4
Omaha, NE 68154-2566

Mailing address

11605 West Dodge Rd, Ste 4
Omaha, NE 68154-2566
Phone (402) 979-7770

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1740752195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 WEST DODGE RD, STE 4",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542566",
            "telephone_number": "402-979-7770",
            "fax_number": "402-979-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 WEST DODGE RD, STE 4",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542566",
            "telephone_number": "402-979-7770",
            "fax_number": "402-979-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSALIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-26",
        "last_updated": "2025-05-08",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "ADDAH",
        "authorized_official_first_name": "BIENVENU",
        "authorized_official_middle_name": "YEMALIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "402-979-7770"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.