Organization Active NPI

Rose Ofsharon Home Care and Health Services

  • Home Health Agency
  • Fayetteville, NC
National Provider Identifier
1780704346
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2855 Issued in NC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3408270MedicaidNC
6601229MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.