Rosie's Adult Family Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

523900

Legal business name

ROSIE'S ADULT FAMILY HOME

Practice address

611 N Yost St
Kennewick, WA 99336-6171

Phone

(509) 734-0851

Fax

(509) 734-1071

NPI assigned

Jun 12, 2013

Organization subpart

No

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

Authorized official

Name

Rosie K Covington

Title

Owner

Phone

(509) 734-0851

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1801234877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N YOST ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366171",
            "telephone_number": "509-734-0851",
            "fax_number": "509-734-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N YOST ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366171",
            "telephone_number": "509-734-0851",
            "fax_number": "509-734-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSIE'S ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "COVINGTON",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-734-0851"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": "523900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311ZA0620X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Rosales
• Yesica Rosas, MSW, LICSW
• Eric R Rose, D.M.D.
• Jacob Glenn Rose, LMP
• Jillian Rosenblum
• Rossdeck Medical Supplies Inc.
• Elizabeth Jean Rosser
• Seth Bozeman Rosser
• Kassie Jo Roudebush
• Shayla Raquel Rowlette

• Adult Care Home Facility in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.