Active NPI
Rosie's Care Home Inc
Doing business as Renaissance Care Home
- Assisted Living Facility
- Raleigh, NC
National Provider Identifier
1871064832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.