Rose Haven Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

129334 Issued in TX

Legal business name

ROSE HAVEN HEALTHCARE LLC

Doing business as

Rose Haven Retreat

Practice address

200 Live Oak St
Atlanta, TX 75551-2802

Phone

(903) 796-4127

NPI assigned

Jan 27, 2012

Organization subpart

No

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

Authorized official

Name

Menachem M Shapiro

Title

Manager

Phone

(732) 961-9000

Specialties & licenses 1

Addresses

Other names 1

• Rose Haven Retreat Doing business as

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1811269533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MONMOUTH AVE",
            "address_2": "SUITE 130",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LIVE OAK ST",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "755512802",
            "telephone_number": "903-796-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE HAVEN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-961-9000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "129334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Haven Retreat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Early Reed, MSW
• Antoinette R Riley, FNP, DCNP
• Juanita M Roberson, MSW
• Robinson Family Pharmacy LLC (Robinson Family Pharmacy)
• Katherine Lynn Rolon, FNP-C
• Judith Emily Rothery
• S. Balachandran, MD, PA
• Robert Frank Sanders, DDS
• Rowena L Schaeffer, MS RD LD
• Mackenzie Scoggins

• Skilled Nursing Facility in Atlanta, TX
• Providers in Atlanta, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.