ROSA'S ASSISTED LIVING (NPI# 1629487178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629487178 |
| Entity Type | Organization |
| Organization Name | ROSA'S ASSISTED LIVING |
| Practice Address |
5254 Round Table Dr San Antonio TX 78218-2826 |
| Mailing Address |
7715 Oakhill Park Dr San Antonio TX 78249-4455 |
| Practice Telephone | 2106509963 |
| Mailing Telephone | 2103828788 |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |
| Authorized Official Name | ROSA L TONEY (ADMINISTRATOR) |
| Authorized Official Telephone | 2106509963 |
| Authorized Official Credential | NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 138374 | TX | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 528594471 | 05 | |
| TX | 508295273 | 05 | |
| TX | 516824935 | 05 | |
| TX | 519497093 | 05 |
| Street Address |
5254 ROUND TABLE DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78218-2826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851901516 | Kenny Garza | Counselor | 5000 Walzem Rd, San Antonio, TX 78218 | 2020-08-06 |
| 1922507425 | Vanessa C Smith | Specialist/Technologist | 5110 Walzem Rd, Windcrest, TX 78218 | 2018-02-09 |
| 1245696616 | Timothy Myers | Pharmacist | 6520 Pratt Rd, San Antonio, TX 78218 | 2016-01-14 |
| 1063809622 | Stateserv Medical of San Antonio | Durable Medical Equipment & Medical Supplies | 4338 Tejasco Drive, San Antonio, TX 78218 | 2015-04-22 |
| 1053720821 | Riham Elfiky | Secured Medical Transport (VAN) | 2122 Austin Hwy, San Antonio, TX 78218 | 2014-08-06 |
| 1659785129 | Gwendolyn Bolden | Rehabilitation Practitioner | 4615 Walzem Road, 207, San Antonio, TX 78218 | 2014-06-12 |
| 1659798833 | Carlos Reynaldo Guerrero | Physician Assistant | 3453 N Pan Am Expy, San Antonio, TX 78218 | 2014-03-25 |
| 1073936050 | Wal-mart Stores Texas Lp | Technician/Technologist | 5626 Walzem Road, San Antonio, TX 78218 | 2014-01-28 |
| 1225370968 | Wendy M Voisin | Pharmacist | 6520 Fratt Rd., San Antonio, TX 78218 | 2013-03-20 |
| 1376817999 | Peter Joseph Ness | Ophthalmology | 8239 Campobello Dr, San Antonio, TX 78218 | 2012-02-29 |
| Find all providers in zip 78218 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457999849 | Eri Industries, LLC, Dba Eri Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2300 W. Commerce#216, San Antonio, TX 78207 | 2019-12-16 |
| 1538719463 | Agape 4 You,llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9122 Bowen Br, San Antonio, TX 78254-1914 | 2019-09-12 |
| 1811468960 | Integrity Healthcare Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8815 Burgandy, San Antonio, TX 78240-3529 | 2018-12-16 |
| 1083185607 | Lovinglyhome LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12419 Horse Cres, San Antonio, TX 78254-6087 | 2018-12-07 |
| 1396229456 | Supported Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18911 Hardy Oak Blvd Ste 164, San Antonio, TX 78258-4967 | 2018-09-24 |
| 1821580481 | Mi Amor Home & Community Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8151 Broadway St, San Antonio, TX 78209-1995 | 2018-05-30 |
| 1568983385 | Enchantment Living Hhc LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5927 Iris Isle, San Antonio, TX 78218-3091 | 2017-07-01 |
| 1871037135 | Glen Oaks Health Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5822 Royal Hvn, San Antonio, TX 78239-1407 | 2016-12-06 |
| 1174978548 | Great Life Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6534 Candlecane Cir, San Antonio, TX 78244-1914 | 2016-05-04 |
| 1528435880 | Come Home - Victor's House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2522 Hollyhill Dr, San Antonio, TX 78222-1352 | 2015-08-21 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78218 |
Please comment or provide details below to improve the information on ROSA'S ASSISTED LIVING.
| 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.