ROSE'S RETIREMENT HOME NPI 1902201189

NPI Information

NPI: 1902201189
Provider Name: ROSE'S RETIREMENT HOME
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
11520 SW 108TH AVE
MIAMI, FL
ZIP 33176
Phone: (305) 225-8158
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ROSE'S RETIREMENT HOME is an assisted living and mental illness assisted living facility in Miami, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. ROSE'S RETIREMENT HOME NPI is 1902201189. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11520 SW 108TH AVE
MIAMI, FL
ZIP 33176-967
Phone: (305) 225-8158
Fax: (305) 232-0976

The provider's authorized official is Rosella Harpaul .
The authorized official title is Owner and has the following contact phone number (305) 255-8158.

The enumeration date for this NPI number is 10/29/2014 and was last updated on 10/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3747P1801X	Technician	Personal Care Attendant	AL 58	FLORIDA	No
2	310400000X	Assisted Living Facility		AL 58	FLORIDA	No
3	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	AL 58	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	141091100	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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