Active NPI
Rose Ofsharon Home Care and Health Services
- Home Health Agency
- Fayetteville, NC
National Provider Identifier
1780704346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC2855
- Legal business name
- ROSE OFSHARON HOME CARE AND HEALTH SERVICES
- Practice address
- 1504 Gillespie St # 1508
Fayetteville, NC 28306-1846 - Phone
- (910) 860-2058
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dorothy Renee Henry Ross, FNP
- Title
- Administrator
- Phone
- (910) 860-2058
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC2855 | NC | Primary |
Addresses
Primary practice location
1504 Gillespie St # 1508
Fayetteville, NC 28306-1846
Mailing address
1504 Gillespie St # 1508
Fayetteville, NC 28306-1846
Phone (910) 860-2058
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408270 | Medicaid | NC | |
| 6601229 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1504 Gillespie St
#1508
Fayetteville, NC 28306
Phone (910) 860-2058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780704346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 GILLESPIE ST # 1508",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283061846",
"telephone_number": "910-860-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 GILLESPIE ST # 1508",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283061846",
"telephone_number": "910-860-2058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE OFSHARON HOME CARE AND HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HENRY ROSS",
"authorized_official_first_name": "DOROTHY",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "910-860-2058",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC2855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408270",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601229",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.