Mender L Roston

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

105 Brookwood Ave
Fayetteville, NC 28301-4463

Phone

(910) 476-5421

NPI assigned

Oct 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Benevolent Care LLC

  • In Home Supportive Care Agency
  • Fayetteville, NC
  • NPI 1164298253
  NPD Authorized official

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1821860669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 MURCHISON RD STE F",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013567",
            "telephone_number": "472-202-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BROOKWOOD AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014463",
            "telephone_number": "910-476-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTON",
        "first_name": "MENDER",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Michelle Ross, LCAS
• Melissa Marlene Ross, M.ED, CF- SLP
• Micaela Ross
• Shenita Melvin Ross, DHA, MSW, LCSWA
• Stacey Ross, RN
• David Jay Rothman, M.A. CCC-A
• Manfred S Rothstein, MD
• Jamie Leigh Rouhi, DO
• Maurice R Roulhac, MD
• Jamila Devora Rouse, FNP

• In Home Supportive Care Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.