Organization Active NPI

Rosemaries My Home Away From Home Corp

  • Assisted Living Facility
  • Jacksonville, FL
National Provider Identifier
1780963025
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ROSEMARIES MY HOME AWAY FROM HOME CORP
Practice address
262 Mulberry St
Jacksonville, FL 32208-4010
Phone
(904) 655-0872
Fax
(904) 677-7945
NPI assigned
Aug 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Authorized official

Name
Ms. Rosemarie BacherNPI 1659669117
Title
Administrator
Phone
(904) 655-0872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

262 Mulberry St
Jacksonville, FL 32208-4010

Mailing address

1936 N Market St
Jacksonville, FL 32206-3744
Phone (904) 655-0872

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1780963025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 N MARKET ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322063744",
            "telephone_number": "904-655-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 MULBERRY ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322084010",
            "telephone_number": "904-655-0872",
            "fax_number": "904-677-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMARIES MY HOME AWAY FROM HOME CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "BACHER",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-655-0872",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.