THE ROSE ASSISTED LIVING CENTER (NPI# 1619331121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619331121 |
| Entity Type | Organization |
| Organization Name | THE ROSE ASSISTED LIVING CENTER |
| Practice Address |
10814 Twin Circles Dr Montgomery TX 77356-4734 |
| Practice Telephone | 7132411141 |
| Practice Fax Number | 7132411149 |
| Mailing Telephone | 7132411141 |
| Mailing Fax Number | 7132411149 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |
| Authorized Official Name | JANICE CALLOWAY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7132411141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 010069 | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1467607689 | 05 |
| Street Address |
10814 TWIN CIRCLES DR |
| City | MONTGOMERY |
| State | TX |
| Zip Code | 77356-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919490 | Age Well Concierge Medicine | Family Medicine | 18441 Tx-105, Suite B, Montgomery, TX 77356 | 2020-07-21 |
| 1912549908 | Kindra Siewood | Speech-Language Pathologist | 15320 Tx-105 W, Suite 116, Montgomery, TX 77356 | 2019-10-11 |
| 1710545595 | Vaughn Motley Bryant IIi | Counselor | 14740 Liberty Street, Montgomery, TX 77356 | 2019-06-05 |
| 1871157420 | Belinda Kay Warren Delapena | Counselor | 3507 Whittier, Montgomery, TX 77356 | 2019-04-30 |
| 1841760071 | Cvs Pharmacy Inc | Pharmacy | 20125 Eva Street, Montgomery, TX 77356 | 2018-11-30 |
| 1750863429 | Kristina Lynn Knighten | Specialist/Technologist | 3602 Woodland Lane, Montgomery, TX 77356 | 2018-08-30 |
| 1770072415 | Crosby Pharmacy & Wellness, LLC | Pharmacy | 18446 Tx - 105 Ste D, Montgomery, TX 77356 | 2018-05-08 |
| 1760999726 | Everbright Dental Pllc | Dentist | 20212 Eva St., #160, Montgomery, TX 77356 | 2017-12-29 |
| 1821535261 | Ramon Campbell | Nurse Practitioner | 108 Harbour Town Drive, Montgomery, TX 77356 | 2017-01-24 |
| 1447628995 | Erica Everett | Nurse Practitioner | 110 April Wind Ct, Montgomery, TX 77356 | 2015-09-14 |
| Find all providers in zip 77356 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738477 | Kimberly Barnes | Home Health | 10612 Harcourt Trce, Montgomery, AL 36117-6073 | 2020-10-19 |
| 1902424963 | Deborah Mason | Home Health | 7274 Forest Hills Dr, Montgomery, TX 77316-3888 | 2020-07-07 |
| 1407491673 | Keith Jackson | Home Health | 2934 Pelzer Ave, Montgomery, AL 36109-2147 | 2019-11-12 |
| 1831617703 | Statewide Healthcare Services, Inc | Home Health | 6767 Taylor Cir, Montgomery, AL 36117-3417 | 2017-08-31 |
| 1790212439 | Harvey & Phelps, LLC | Home Health | 2294 State Route 208, Suite 5, Montgomery, NY 12549-2217 | 2017-05-12 |
| 1659819316 | Care Help Homecare | Home Health | 3086 Woodley Rd, Suite D, Montgomery, AL 36116-3149 | 2017-02-02 |
| 1457707143 | Essential Home Care | Home Health | 2837 E South Blvd Unit 20213, Montgomery, AL 36120-3010 | 2016-05-11 |
| 1346611472 | Magnolia Home Care Services Inc. | Home Health | 2400 Geneva Ln, Montgomery, IL 60538-5047 | 2015-10-15 |
| 1922410497 | Capitol City Home Health and Rehab | Home Health | 8202 Old Federal Rd Ste A, Montgomery, AL 36117-8030 | 2014-06-02 |
| 1790197093 | Love & Affections Home Healthcare | Home Health | 3430 Opportune Way, Montgomery, AL 36108-3924 | 2014-05-21 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 77356 |
Please comment or provide details below to improve the information on THE ROSE ASSISTED LIVING CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.