ROSE TERRACE HEALTH AND REHABILITATION CENTER
NPI 1104117761
Skilled Nursing Facility in Culloden, WV

Active since April 29, 2011
30 HIDDEN BROOK WAY, CULLODEN, WV 25510(615) 771-7575(615) 620-7875 Get Directions Write a Review

NPPES record last updated: November 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rose Terrace Health And Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE TERRACE HEALTH AND REHABILITATION CENTER (NPI 1104117761) is a healthcare organization registered as a skilled nursing facility in Culloden, West Virginia and active in the NPI registry since April 2011. The organization lists Kelly J. Gill, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1104117761
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDIVERSICARE ROSE TERRACE, LLC
Location Address30 HIDDEN BROOK WAYCulloden, WV 25510
Mailing Address30 Hidden Brook WayCulloden, WV 25510
Fax(615) 620-7875
Organization SubpartYesParent: Advocat Inc.
Authorized OfficialKelly J. GillPresident And Ceo · (615) 771-7575
Enumeration DateApril 29, 2011
Last NPPES UpdateNovember 14, 2012
NPI 1104117761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in WV · 183
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
30 HIDDEN BROOK WAY, Culloden, WV 25510

Other Names 1

Doing Business AsRose Terrace Health And Rehabilitation Center

Other Identifiers 3

Medicaid3810023465WV
Other51-5192WV · Medicare Snf
Medicare OSCAR/certification515192WV

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
30 HIDDEN BROOK WAY
CULLODEN, WV 25510
Physical Therapy Assistant
30 HIDDEN BROOK WAY
CULLODEN, WV 25510
Skilled Nursing Facility
30 HIDDEN BROOK WAY
CULLODEN, WV 25510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diversicare Rose Terrace, LLC's NPI number?

The NPI number for Diversicare Rose Terrace, LLC is 1104117761. It was assigned to this organization in the NPPES registry on April 29, 2011. The provider is doing business as Rose Terrace Health And Rehabilitation Center.

Where is Diversicare Rose Terrace, LLC located?

Diversicare Rose Terrace, LLC is located at 30 Hidden Brook Way, Culloden, WV 25510. The listed phone number is (615) 771-7575.

What is Diversicare Rose Terrace, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Diversicare Rose Terrace, LLC was last updated on November 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.