Organization Active NPI

Rose'S Retirement Home

  • Assisted Living Facility (Mental Illness)
  • Miami, FL
National Provider Identifier
1902201189
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL 58 Issued in FL
Legal business name
ROSE'S RETIREMENT HOME
Practice address
11520 SW 108TH Ave
Miami, FL 33176-3967
Phone
(305) 225-8158
Fax
(305) 232-0976
NPI assigned
Oct 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Mrs. Rosella Harpaul
Title
Owner
Phone
(305) 255-8158

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 58 FL
Assisted Living Facility (Mental Illness) 3104A0625X AL 58 FL Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X AL 58 FL

Addresses

Primary practice location

11520 SW 108TH Ave
Miami, FL 33176-3967

Mailing address

11520 SW 108TH Ave
Miami, FL 33176-3967
Phone (305) 225-8158

Other identifiers 1

IdentifierTypeStateIssuer
141091100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1902201189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 SW 108TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763967",
            "telephone_number": "305-225-8158",
            "fax_number": "305-232-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 SW 108TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763967",
            "telephone_number": "305-225-8158",
            "fax_number": "305-232-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE'S RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "HARPAUL",
        "authorized_official_first_name": "ROSELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-255-8158",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 58",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL 58",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "FL",
            "license": "AL 58",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141091100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.