NPIMap

Organization Active NPI

Rosehaven Retirement Residences, Inc

  • Assisted Living Facility
  • Kaufman, TX
National Provider Identifier
1912320680
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
137433 Issued in TX
Legal business name
ROSEHAVEN RETIREMENT RESIDENCES, INC
Doing business as
Hickory Square Retirement Center
Practice address
108 W Hickory St
Kaufman, TX 75142-1310
Phone
(214) 288-5887
NPI assigned
Jan 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Ms. Wendy Lynn Manning
Title
Director
Phone
(214) 288-5887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 137433 TX Primary

Addresses

Primary practice location

108 W Hickory St
Kaufman, TX 75142-1310

Mailing address

108 W Hickory St
Kaufman, TX 75142-1310
Phone (214) 288-5887

Other names 2

  • Hickory Square Retirement Center Doing business as
  • Rosehaven Retirement Residences, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Hickory Square Retirement Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1912320680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W HICKORY ST",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751421310",
            "telephone_number": "214-288-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W HICKORY ST",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751421310",
            "telephone_number": "214-288-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEHAVEN RETIREMENT RESIDENCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-288-5887",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "137433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickory Square Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rosehaven Retirement Residences, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kaufman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.