Provider Demographics
NPI:1871064832
Name:ROSIE'S CARE HOME INC
Entity type:Organization
Organization Name:ROSIE'S CARE HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSALIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:NDOMA-OGAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:919-633-0109
Mailing Address - Street 1:5333 INDIGO MOON WAY
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-7361
Mailing Address - Country:US
Mailing Address - Phone:919-633-0109
Mailing Address - Fax:866-735-9943
Practice Address - Street 1:3604 NEUSE ESTATES DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-6071
Practice Address - Country:US
Practice Address - Phone:919-878-1524
Practice Address - Fax:866-735-9943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility