Rosefidelis Omnicare, LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

ROSEFIDELIS OMNICARE, LLC

Practice address

3815 Alta Vista Drive
Bowie, MD 20721

Phone

(240) 413-0181

Fax

(301) 577-1436

NPI assigned

Sep 19, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Scholastica Nwabueze

Title

Ceo

Phone

(240) 413-0181

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505779200000",
    "number": "1780103994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 ALTA VISTA DRIVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20721",
            "telephone_number": "240-413-0181",
            "fax_number": "301-577-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 ALTA VISTA DRIVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20721",
            "telephone_number": "240-413-0181",
            "fax_number": "301-577-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEFIDELIS OMNICARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A",
        "authorized_official_last_name": "NWABUEZE",
        "authorized_official_first_name": "SCHOLASTICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-413-0181",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Registered Nurse in Bowie, MD
• Providers in Bowie, MD by specialty
• Home Health Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; 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.