Organization Active NPI

Rosa Home Care

  • Home Health Agency
  • Hopkinsville, KY
National Provider Identifier
1750977013
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ROSA HOME CARE
Practice address
1727 Jan Dr Apt a
Hopkinsville, KY 42240-5012
Phone
(803) 508-8199
NPI assigned
Dec 21, 2020
Last updated
Dec 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Miss Shericka Lenna Burgess, CNA/CMT
Title
Caregiver
Phone
(803) 508-8199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1727 Jan Dr Apt a
Hopkinsville, KY 42240-5012

Mailing address

1727 Jan Dr Apt a
Hopkinsville, KY 42240-5012
Phone (803) 508-8199

Other names 1

  • Rosa Home Care Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1750977013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 JAN DR APT A",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422405012",
            "telephone_number": "803-508-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 JAN DR APT A",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422405012",
            "telephone_number": "803-508-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "SHERICKA",
        "authorized_official_middle_name": "LENNA",
        "authorized_official_title_or_position": "CAREGIVER",
        "authorized_official_telephone_number": "803-508-8199",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CNA/CMT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosa Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.