Rosemunde Marcia Christine Percival, LLC OWNER

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

NA

Practice address

555 Coles Mill Rd Apt 101
Haddonfield, NJ 08033-1079

Phone

(856) 203-4223

NPI assigned

Jan 22, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1851855035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 COLES MILL RD APT 101",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331079",
            "telephone_number": "856-203-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 COLES MILL RD APT 101",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331079",
            "telephone_number": "856-203-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCIVAL",
        "first_name": "ROSEMUNDE",
        "middle_name": "MARCIA CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LLC OWNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-5116681",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorin D. Parashes, MS, LCSW
• Rahul Patel, DO
• Bob Pekar, L.C.S.W.
• Gale Pekar, RN,LPC
• Lanibelle Pena, PHARM.D
• Kerry Perez
• Claudia Jennifer Petaccio, MD
• Linda Michelle Petrovich, MD
• John W Petrozzi, M.D
• Rachel Petrucci, PT, DPT

• In Home Supportive Care Agency in Haddonfield, NJ
• Providers in Haddonfield, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.