Provider Demographics
NPI:1225741853
Name:ROSE HAVEN HEALTH SERVICES , LLC
Entity Type:Organization
Organization Name:ROSE HAVEN HEALTH SERVICES , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:SIKIRAT
Authorized Official - Middle Name:YETUNDE
Authorized Official - Last Name:OROPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-557-0950
Mailing Address - Street 1:4580 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-1447
Mailing Address - Country:US
Mailing Address - Phone:770-856-8988
Mailing Address - Fax:404-963-0672
Practice Address - Street 1:4580 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-1447
Practice Address - Country:US
Practice Address - Phone:770-856-8988
Practice Address - Fax:404-963-0672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-28
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health