Provider Demographics
NPI:1295403335
Name:ROSANAH HEALTHCARE INC
Entity Type:Organization
Organization Name:ROSANAH HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUNDAY
Authorized Official - Middle Name:E
Authorized Official - Last Name:KUMUYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-480-4387
Mailing Address - Street 1:18215 PELHAM HOLLOW TRL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3015
Mailing Address - Country:US
Mailing Address - Phone:832-480-4387
Mailing Address - Fax:
Practice Address - Street 1:18215 PELHAM HOLLOW TRL
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3015
Practice Address - Country:US
Practice Address - Phone:832-480-4387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health