Provider Demographics
NPI:1194363028
Name:ROSY ANGELS HEALTH CARE SYSTEM LLC
Entity Type:Organization
Organization Name:ROSY ANGELS HEALTH CARE SYSTEM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:ROSELINE
Authorized Official - Middle Name:OKEUGO
Authorized Official - Last Name:MODIQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-881-9815
Mailing Address - Street 1:18211 BONHAM OAKS CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2298
Mailing Address - Country:US
Mailing Address - Phone:832-881-9815
Mailing Address - Fax:832-175-1975
Practice Address - Street 1:18211 BONHAM OAKS CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2298
Practice Address - Country:US
Practice Address - Phone:832-881-9815
Practice Address - Fax:832-175-1975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health