Provider Demographics
NPI:1427027218
Name:ROSEL HOME EQUIPMENT CARE INC
Entity Type:Organization
Organization Name:ROSEL HOME EQUIPMENT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAITE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-883-5033
Mailing Address - Street 1:6830 NW 77TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-2713
Mailing Address - Country:US
Mailing Address - Phone:305-883-5033
Mailing Address - Fax:305-883-8909
Practice Address - Street 1:6830 NW 77TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-2713
Practice Address - Country:US
Practice Address - Phone:305-883-5033
Practice Address - Fax:305-883-8909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1314179332B00000X, 332BP3500X, 332BX2000X, 332B00000X
332B00000X
FLPH251723336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL682343200OtherMEDICAID PAC WAIVER
FL688572179OtherMEDICAID BRAIN AND SPINAL CORD INJURY
FL017010400Medicaid
FL017010400Medicaid
FL688572179Medicaid
FL026444001Medicaid
FL638999100Medicaid
FL026444000Medicaid