Provider Demographics
NPI:1235839523
Name:ROCHESTER SENIOR CARE LLC
Entity Type:Organization
Organization Name:ROCHESTER SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PACCHETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-398-6204
Mailing Address - Street 1:304 6TH ST SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-3217
Mailing Address - Country:US
Mailing Address - Phone:507-285-1700
Mailing Address - Fax:507-536-4056
Practice Address - Street 1:304 6TH ST SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-3217
Practice Address - Country:US
Practice Address - Phone:507-285-1700
Practice Address - Fax:507-536-4056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care