Come on Home to Rosa's Place, LLC

Primary specialty

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

Legal business name

COME ON HOME TO ROSA'S PLACE, LLC

Practice address

678 SE Baya Dr
Lake City, FL 32025-6038

Phone

(229) 319-6755

NPI assigned

Feb 12, 2024

Organization subpart

No

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

Authorized official

Name

Teresa EdgeNPI 1174480958

Title

President

Phone

(229) 319-6755

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teresa Delane Edge

  • Registered Nurse
  • Moultrie, GA
  • NPI 1174480958
  Authorized official Same address or phone

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1790549525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 SE BAYA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 SE BAYA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256038",
            "telephone_number": "229-319-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COME ON HOME TO ROSA'S PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "EDGE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-319-6755"
    },
    "taxonomies": [
        {
            "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": []
}

• Columbia County Senior Services
• Columbia Emergency Group LLC
• Columbia Emergency Services Inc
• Columbia Eye Associates PA
• Tracy Combee
• Comfortable Care Dental Health Professionals, PA (Complete Dental of Lake City)
• Comfortcare Delight, LLC
• Concierge Home Care of Lake City LLC (Concierge Home Care)
• Sharon Sue Conner, RN
• Megan Marie Contini, ARNP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lake City, FL
• Providers in Lake City, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.