ELITE ROSE HEALTHCARE SERVICES P.C.


Address: 2783 Santa Barbara Dr Nw, Atlanta, GA 30318-7326
Phone: 4049441174

ELITE ROSE HEALTHCARE SERVICES P.C. (NPI# 1205352093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205352093
Entity Type Organization
Organization Name ELITE ROSE HEALTHCARE SERVICES P.C.
Practice Address 2783 Santa Barbara Dr Nw
Atlanta
GA 30318-7326
Practice Telephone 4049441174
Enumeration Date 2017-08-14
Last Update Date 2017-08-14
Authorized Official Name AYJANAH RASHEEDA MOORE (NURSE PRACTITIONER)
Authorized Official Telephone 4049441174
Authorized Official Credential NP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
APRN207446 GA Ambulatory Health Care Facilities

Office Location

Street Address 2783 SANTA BARBARA DR NW
City ATLANTA
State GA
Zip Code 30318-7326

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1124597646 Cindy Denise Oden Registered Nurse 1903 Drew Dr Nw, Apt 2200, Atlanta, GA 30318 2018-11-14
1558838052 Amanda Renee Wilson Social Worker 2118 Adams Overlook Nw, Atlanta, GA 30318 2018-11-01
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1295254639 Danielle Olivia Jones Counselor 1391 Collier Road Nw, Apt 1304, Atlanta, GA 30318 2017-09-18
1104372317 Kera Baker Massage Therapist 1397 B Carroll Drive Nw, Atlanta, GA 30318 2016-08-28
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1972120970 Imagine New Beginnings Clinic/Center 3125 Colonial Way Apt J, Atlanta, GA 30341-5339 2020-06-25
1659994705 Paul Smith Counseling and Consulting, LLC Clinic/Center 5180 Roswell Rd Ste 106, Atlanta, GA 30342-2293 2020-05-24
1568091429 Keystone Behavioral Health Center Clinic/Center 3071 Campbellton Rd Sw Ste 2, Atlanta, GA 30311-5441 2020-04-03
1205471695 Mindbrain Institute of Atlanta Clinic/Center 2200 Century Pkwy Ne Ste 200, Atlanta, GA 30345-3103 2019-11-09
1528613437 Kenetta Muhammad Clinic/Center 801 Joseph E Boone Blvd Nw, Atlanta, GA 30314-3344 2019-08-07
1356906929 Lenox Pointe Psychotherapy, LLC Clinic/Center 6 Lenox Pointe Ne, Atlanta, GA 30324-3167 2019-05-08
1417478439 Reexist Counseling LLC Clinic/Center 1955 Vance Drive Ne, Atlanta, GA 30345 2017-06-29
1215358015 Living Fully Psychotherapy and Consulting, LLC Clinic/Center 1463 Oxford Rd Ne, Atlanta, GA 30322-1046 2013-12-20
1225373145 The Renfrew Centers, Inc. Clinic/Center 50 Glenlake Parkway Ne, Suite 120, Atlanta, GA 30328 2012-12-04
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Competitor

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City ATLANTA
Zip Code 30318

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Dataset Information

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.

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