Organization Active NPI

Rosewater, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Atlanta, GA
National Provider Identifier
1992984793
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ROSEWATER, INC.
Practice address
2358 Perimeter Park Dr
Suite 320
Atlanta, GA 30341-1332
Phone
(770) 641-8300
Fax
(770) 645-8666
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Ms. Pamela Beal
Title
Ceo
Phone
(770) 641-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

2358 Perimeter Park Dr
Suite 320
Atlanta, GA 30341-1332

Mailing address

1515 Magnavox Way
Fort Wayne, IN 46804-1533
Phone (260) 459-1551

National Provider Directory

National Provider Directory

Locations

1515 Magnavox Way
Fort Wayne, IN 46804
Phone (260) 408-1085

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1992984793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MAGNAVOX WAY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041533",
            "telephone_number": "260-459-1551",
            "fax_number": "260-459-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 PERIMETER PARK DR",
            "address_2": "SUITE 320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411332",
            "telephone_number": "770-641-8300",
            "fax_number": "770-645-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWATER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-641-8300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.