Fullerton Rosewood Assisted Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FULLERTON ROSEWOOD ASSISTED LIVING, INC.

Practice address

411 E Commonwealth Ave
Fullerton, CA 92832-2018

Phone

(714) 441-0644

Fax

(714) 441-0629

NPI assigned

Dec 9, 2020

Organization subpart

No

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

Authorized official

Name

Jane Kim

Title

Administrator

Phone

(714) 441-0644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1770189284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E COMMONWEALTH AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322018",
            "telephone_number": "714-441-0644",
            "fax_number": "714-441-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E COMMONWEALTH AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322018",
            "telephone_number": "714-441-0644",
            "fax_number": "714-441-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLERTON ROSEWOOD ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-441-0644"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fullerton Medical Pharmacy Inc
• Fullerton Orthopaedic Surgery Medical Group, Inc.
• Fullerton Physical Therapy & Sports Care, Inc.
• Fullerton Plaza Guest Home
• Fullerton Pulmonary & Critical Care Inc
• Fullerton School District
• Fullerton Surgical Center, LP
• Caroline Fung
• William Funke
• Katherina Alexis Furlow, DDS

• Assisted Living Facility in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.