Provider Demographics
NPI:1497943401
Name:ROSAIDA HEALTH CARE, INC.
Entity Type:Organization
Organization Name:ROSAIDA HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:IDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINOSA
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:305-688-8906
Mailing Address - Street 1:4163 NW 135TH ST
Mailing Address - Street 2:
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33054-4658
Mailing Address - Country:US
Mailing Address - Phone:305-688-8906
Mailing Address - Fax:305-688-0906
Practice Address - Street 1:4163 NW 135TH ST
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054-4658
Practice Address - Country:US
Practice Address - Phone:305-688-8906
Practice Address - Fax:305-688-0906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL684905996251C00000X
FL299993062251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health