Provider Demographics
NPI:1275692444
Name:ROSE'S HEALTHCARE HOME, INC.
Entity Type:Organization
Organization Name:ROSE'S HEALTHCARE HOME, INC.
Other - Org Name:ROSE'S GUARDIAN ADULT CARE HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BOOKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-491-2357
Mailing Address - Street 1:7216 PARKER RD
Mailing Address - Street 2:7225 PARKER RD.
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77016-3427
Mailing Address - Country:US
Mailing Address - Phone:713-491-2357
Mailing Address - Fax:713-491-3860
Practice Address - Street 1:7216 PARKER RD
Practice Address - Street 2:7225 PARKER RD.
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-3427
Practice Address - Country:US
Practice Address - Phone:713-491-2357
Practice Address - Fax:713-491-3860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118376310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility