Provider Demographics
NPI:1033346184
Name:RODA HOME COMPANION CARE, LLC
Entity Type:Organization
Organization Name:RODA HOME COMPANION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSALIA
Authorized Official - Middle Name:ILAGAN
Authorized Official - Last Name:MAGHARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-880-1034
Mailing Address - Street 1:356 PLEASURE LAND RD
Mailing Address - Street 2:
Mailing Address - City:GUN BARREL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75156-5244
Mailing Address - Country:US
Mailing Address - Phone:903-880-1034
Mailing Address - Fax:903-880-1034
Practice Address - Street 1:356 PLEASURE LAND RD
Practice Address - Street 2:
Practice Address - City:GUN BARREL CITY
Practice Address - State:TX
Practice Address - Zip Code:75156-5244
Practice Address - Country:US
Practice Address - Phone:903-880-1034
Practice Address - Fax:903-880-1034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX801133537253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX253Z00000XOtherNONMEDICAL HOME CARE SERVICES