Rose Arbor Residence

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH 6870 Issued in AZ

Legal business name

ROSE ARBOR RESIDENCE

Practice address

3440 S Gillenwater Dr
Flagstaff, AZ 86001-8516

Phone

(928) 380-8773

Fax

(928) 266-0607

NPI assigned

Mar 1, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Susan Elizabeth Reily

Title

Owner

Phone

(928) 380-8773

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1821310152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 S GILLENWATER DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860018516",
            "telephone_number": "928-380-8773",
            "fax_number": "928-266-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 S GILLENWATER DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860018516",
            "telephone_number": "928-380-8773",
            "fax_number": "928-266-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE ARBOR RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "REILY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-380-8773",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH 6870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Romo, ATC
• Roots Nutrition LLC
• Stephen Joseph Ros, M.D., PH.D.
• Mark Anthony Rosales, DPM
• Olivia Grace Rosales
• Donna L Rose
• Tamara Roshay
• Ellen M. Rosher, M.S. CCC-SLP
• Wendy Abel Ross, RN
• Jeffrey Scott Roth, FNP

• Assisted Living Facility in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.