Rosebud Personal Service Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ROSEBUD PERSONAL SERVICE AGENCY

Practice address

6301 Old Barn CT
Indianapolis, IN 46268-4045

Phone

(317) 989-1725

NPI assigned

Mar 14, 2019

Organization subpart

No

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

Authorized official

Name

Christa R Henderson

Title

Manager/Owner

Phone

(317) 989-1725

Specialties & licenses 1

Addresses

Other names 1

• RoseBud PSA Doing business as

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1982163499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68758",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462680758",
            "telephone_number": "317-989-1725",
            "fax_number": "844-296-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 OLD BARN CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462684045",
            "telephone_number": "317-989-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBUD PERSONAL SERVICE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "317-989-1725"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RoseBud PSA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rose'S Comfort LLC
• Kyle David Roseberry
• Ty Martin Roseberry, PA
• Evann Rae Rosebrough, CLC
• Ryan Matthew Rosebrough, MPAS, PA-C
• Stephen Antatico Rosell
• Bradley Harmatz Rosen, D.O.
• Bruce M. Rosen, NP
• Niles Rosen, M.D.
• Alannah Jade Rosenbalm

• In Home Supportive Care Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.