ROSE GARDEN (NPI# 1376971481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376971481 |
| Entity Type | Organization |
| Organization Name | ROSE GARDEN |
| Practice Address |
3843 Troy Ave Jackson MS 39213-5958 |
| Practice Telephone | 6015034821 |
| Mailing Telephone | 6015034821 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2014-07-10 |
| Authorized Official Name | MRS. JESSIE SUMMERS (OWNER) |
| Authorized Official Telephone | 6015590005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922136381 | Rose Garden | Custodial Care Facility | 6163 Lewis Ave, Long Beach, CA 90805-3057 | 2007-02-28 |
| 1982038402 | Rose Garden | Community/Behavioral Health | 1109 Emerywood Ct, Unit D, Las Vegas, NV 89117-9041 | 2013-09-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ROSE GARDEN 157 REALTY LLC | 4630 Robinson Street, Flushing, Ny 11355 |
| New York State Corporations | ROSE GARDEN 3 LLC | Po Box 2384, Monroe, Ny 10949 |
| New York State Corporations | ROSE GARDEN 5 LLC | Po Box 2384, Monroe, Ny 10949 |
| Virginia Business Entities | Rose Garden Aesthetic Care LLC | 13639 Dodsworth Dr, Bristow, Virginia 20136 |
| System for Award Management (SAM) Entities | ROSE GARDEN ANGELS, INC. | 14228 Nw 222 Pl, Alachua, FL 32615-3813 |
| Iowa Business Entities | ROSE GARDEN BAKERY, LLC | 812 5th St, West Des Moines, IA |
| Washington State Corporations | ROSE GARDEN BALLARD LLC | 6754 24th Ave Nw, Seattle, WA 98117 |
| North Carolina Corporations | Rose Garden Barber Shop LLC | 236 Wilmington Hwy, Jacksonville, NC 28540-3506 |
| New York State Corporations | ROSE GARDEN BOWL, INC. | 21 Buffalo Rd, Bergen, Ny 14416 |
| New York State Corporations | ROSE GARDEN CAPITAL LLC | 222 East Dunklin #102, Jefferson City, Mo 65101 |
| Street Address |
3843 TROY AVE |
| City | JACKSON |
| State | MS |
| Zip Code | 39213-5958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
| 1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
| 1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
| 1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
| 1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
| 1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
| Find all providers in zip 39213 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174037881 | Emma Womack | Adult Companion | 5430 Executive Pl Ste 2g, Jackson, MS 39206-4134 | 2017-11-17 |
| 1821501099 | Sunny Days At Home Healthcare, LLC | Adult Companion | 350 N Mart Plz Ste K, Jackson, MS 39206-5319 | 2017-11-09 |
| 1336517382 | Nakeisha Donald | Adult Companion | 662 Piermont St, Jackson, MS 39206-3817 | 2015-09-08 |
| 1407220627 | Victor Oneil Smith | Adult Companion | 121 Colonial Gln, Jackson, MS 39211-3305 | 2015-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689283806 | Gracious Blessings LLC | Adult Companion | 114 3rd Street, Osyka, MS 39657-3965 | 2020-07-23 |
| 1114579000 | Tambra Latrice Roberts | Adult Companion | 515 Hwy 178 East Hollysprings, Hollysprings, MS 38635-2523 | 2019-07-11 |
| 1871089797 | Levon Daniels | Adult Companion | 160 Broadway St Apt K7, Clinton, MS 39056-4842 | 2018-07-03 |
| 1457869190 | Lakisha Ann Mcmorris | Adult Companion | 300 Byram Drive, Apt 51d, Byram, MS 39272 | 2018-01-16 |
| 1316452501 | Professional Staffing Solutions Adult Day Services, LLC | Adult Companion | 1633 Broadway Ext N # P, Greenville, MS 38703-1942 | 2017-12-09 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1497112700 | Angela Richburg | Adult Companion | 7285 Woolmarket Rd, H350, Biloxi, MS 39532-7846 | 2016-01-19 |
| 1992178958 | Angela Bratton | Adult Companion | 1219 Rockingham Dr, Clinton, MS 39056-3543 | 2015-11-12 |
| 1962878165 | David Scott Massey | Adult Companion | 5989 Highway 4 W, Senatobia, MS 38668-3714 | 2015-08-11 |
| 1386031094 | Nicole M Mack | Adult Companion | 618 W Academy St, Canton, MS 39046-4225 | 2015-04-20 |
| Find all providers with the same taxonomy | ||||
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| 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.