Organization Active NPI

Rosie's Care Home Inc

Doing business as Renaissance Care Home

  • Assisted Living Facility
  • Raleigh, NC
National Provider Identifier
1871064832
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ROSIE'S CARE HOME INC
Doing business as
Renaissance Care Home
Practice address
3604 Neuse Estates Dr
Raleigh, NC 27604-6071
Phone
(919) 878-1524
Fax
(866) 735-9943
NPI assigned
Dec 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Authorized official

Name
Mrs. Rosalie A Ndoma-Ogar, RN, BSN
Title
Administrator
Phone
(919) 633-0109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3604 Neuse Estates Dr
Raleigh, NC 27604-6071

Mailing address

5333 Indigo Moon Way
Raleigh, NC 27613-7361
Phone (919) 633-0109

Other practice location 1

612 Red Clover Ct
Wake Forest, NC 27587-9445
Phone (919) 570-7000

Other names 1

  • Renaissance Care Home Doing business as

National Provider Directory

National Provider Directory

Locations

612 Red Clover Ct
Wake Forest, NC 27587
Phone (919) 570-7000

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1871064832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 INDIGO MOON WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276137361",
            "telephone_number": "919-633-0109",
            "fax_number": "866-735-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 NEUSE ESTATES DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276046071",
            "telephone_number": "919-878-1524",
            "fax_number": "866-735-9943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 Red Clover Ct",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275879445",
            "country_code": "US",
            "telephone_number": "919-570-7000",
            "fax_number": "866-735-9943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSIE'S CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "NDOMA-OGAR",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-633-0109",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.