Rosebud Personal Service Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ROSEBUD PERSONAL SERVICE AGENCY

Doing business as

RoseBud PSA

Practice address

6301 Old Barn CT
Indianapolis, IN 46268-4045

Phone

(317) 989-1725

NPI assigned

Mar 14, 2019

Last updated

Mar 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christa R HendersonNPI 1356818744

Title

Manager/Owner

Phone

(317) 989-1725

Specialties & licenses 1

Addresses

Other names 1

• RoseBud PSA Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christa R Henderson

  • Case Manager/Care Coordinator
  • Indianapolis, IN
  • NPI 1356818744
  Authorized official Same address or phone

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
• Carey J Roselee, NP
• Stephen Antatico Rosell
• Bradley Harmatz Rosen, D.O.
• Bruce M. Rosen, NP
• Niles Rosen, M.D.

• 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.