Organization Active NPI

Rose Hill Family Care Home

  • Adult Care Home Facility
  • Lenoir, NC
National Provider Identifier
1992835847
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL014004 Issued in NC
Legal business name
ROSE HILL FAMILY CARE HOME
Practice address
208 Broadway St NW
Lenoir, NC 28645-5005
Phone
(828) 754-2504
Fax
(828) 757-3760
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Katie A Booker
Title
Owner Operator
Phone
(828) 754-2504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL014004 NC Primary

Addresses

Primary practice location

208 Broadway St NW
Lenoir, NC 28645-5005

Mailing address

208 Broadway St NW
Lenoir, NC 28645-5005
Phone (828) 754-2504

Other identifiers 1

IdentifierTypeStateIssuer
7802362MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1992835847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BROADWAY ST NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455005",
            "telephone_number": "828-754-2504",
            "fax_number": "828-757-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BROADWAY ST NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455005",
            "telephone_number": "828-754-2504",
            "fax_number": "828-757-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE HILL FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "828-754-2504"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL014004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802362",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.