Provider Demographics
NPI:1598381782
Name:ROSE HOPE THERAPY WELLNESS CENTER
Entity Type:Organization
Organization Name:ROSE HOPE THERAPY WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DEVELOPMENT MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:MELENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-857-8479
Mailing Address - Street 1:543 COX RD STE D2
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-0616
Mailing Address - Country:US
Mailing Address - Phone:980-259-7357
Mailing Address - Fax:980-236-9435
Practice Address - Street 1:543 COX RD STE D2
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-0616
Practice Address - Country:US
Practice Address - Phone:980-259-7357
Practice Address - Fax:980-236-9435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5012874OtherBOARD OF NURSING