ROSAVAN TEMPLE HILLS – NPI #1912570805
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

ROSAVAN TEMPLE HILLS is a provider located in TEMPLE HILLS, MD. NPPES has assigned the NPI number 1912570805 to ROSAVAN TEMPLE HILLS on July 20, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 5 years ago on Nov 17, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROSAVAN TEMPLE HILLS below.

NPI Profile for
ROSAVAN TEMPLE HILLS

NPI Number
1912570805
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ROSAVAN TEMPLE HILLS
Primary location
4037 BRANCH AVE
TEMPLE HILLS, MD 20748-1643
Phone: (240) 863-2822 Fax:
Mailing address
4703 CHEROKEE ST
COLLEGE PARK, MD 20740-1816
Phone: (240) 863-2822 Fax:
Organization Subpart
No
Authorized Official
JOHN ROSA
OWNER
Phone: (240) 863-2822
Updated
Certification Date
Nov 17, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
111N00000X
- Chiropractor

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.