Provider Demographics
NPI:1437733789
Name:ROSIE HOMECARE LLC
Entity Type:Organization
Organization Name:ROSIE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYRINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BIBBS GOOSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-318-4073
Mailing Address - Street 1:2040 SAN MARCOS DR SE APT 106
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-6609
Mailing Address - Country:US
Mailing Address - Phone:407-318-4073
Mailing Address - Fax:
Practice Address - Street 1:2040 SAN MARCOS DR SE APT 106
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-6609
Practice Address - Country:US
Practice Address - Phone:407-318-4073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty