Rose Palms Light of Hope

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ROSE PALMS LIGHT OF HOPE

Practice address

8116 S Tryon St
Ste B3,Box123
Charlotte, NC 28273-4300

Phone

(980) 522-4195

Fax

(888) 854-8514

NPI assigned

Nov 26, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Michael Brooks

Title

Ex. Director

Phone

(980) 822-4195

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1448496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448496000000",
    "number": "1780058909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 S TRYON ST",
            "address_2": "STE B3,BOX123",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 S TRYON ST",
            "address_2": "STE B3,BOX123",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734300",
            "telephone_number": "980-522-4195",
            "fax_number": "888-854-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE PALMS LIGHT OF HOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-26",
        "last_updated": "2015-11-26",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EX. DIRECTOR",
        "authorized_official_telephone_number": "980-822-4195",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Rosado
• Ayodeji Olusile Rosanwo, MD
• Emely Rosario
• David Rosas
• Melissa Harrison Rosbrugh, PA
• Alana Rose
• Cynthia Rose, OTR/L
• Elizabeth Cleary Rose, DPT
• Geoffrey Andrew Rose, MD
• Hanna Rose, M.A., LPCA

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.